Consequences of delirium after cardiac operations

S. Hogen-Koster, A.G. Hensens, M.J. Schuurmans, Jacobus Adrianus Maria van der Palen

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background Delirium is a transient mental syndrome characterized by disturbances in consciousness, cognition, and perception. The risk that delirium will develop is increased in patients who undergo cardiac operations, especially the elderly. Generally, delirium during hospital admission is independently associated with many negative consequences, such as higher mortality, increased length of hospital stay, nursing home placement after admission, and cognitive and functional decline. Methods This prospective follow-up study used the Short Form 36-Item questionnaire, the Cognitive Failure Questionnaire, and a purpose-designed questionnaire to assess 300 patients who underwent elective cardiac operations at 6 months after the procedure. Postoperative delirium developed in 52 patients (17%). Mortality and readmission were also assessed. Results Delirium after cardiac procedures is associated with increased mortality (13.5% vs 2.0% in patients without), more hospital readmissions (45.7% vs 26.5%), and reduced quality of life. It is also associated with reduced cognitive functioning, including failures in attention, memory, perception, and motor function, and with functional dysfunction such as independency in activities of daily living and mobility. Conclusions Postoperative delirium after cardiac operations is associated with many important consequences. These findings provide justification for intervention studies to evaluate whether delirium prevention, early recognition, or treatment strategies might improve postoperative functional and cognitive function
Original languageEnglish
Pages (from-to)705-711
JournalAnnals of thoracic surgery
Volume93
Issue number3
DOIs
Publication statusPublished - 2012

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Delirium
Cognition
Mortality
Length of Stay
Patient Readmission
Activities of Daily Living
Nursing Homes
Consciousness
Quality of Life
Surveys and Questionnaires

Keywords

  • IR-83876
  • METIS-291627

Cite this

Hogen-Koster, S. ; Hensens, A.G. ; Schuurmans, M.J. ; van der Palen, Jacobus Adrianus Maria. / Consequences of delirium after cardiac operations. In: Annals of thoracic surgery. 2012 ; Vol. 93, No. 3. pp. 705-711.
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abstract = "Background Delirium is a transient mental syndrome characterized by disturbances in consciousness, cognition, and perception. The risk that delirium will develop is increased in patients who undergo cardiac operations, especially the elderly. Generally, delirium during hospital admission is independently associated with many negative consequences, such as higher mortality, increased length of hospital stay, nursing home placement after admission, and cognitive and functional decline. Methods This prospective follow-up study used the Short Form 36-Item questionnaire, the Cognitive Failure Questionnaire, and a purpose-designed questionnaire to assess 300 patients who underwent elective cardiac operations at 6 months after the procedure. Postoperative delirium developed in 52 patients (17{\%}). Mortality and readmission were also assessed. Results Delirium after cardiac procedures is associated with increased mortality (13.5{\%} vs 2.0{\%} in patients without), more hospital readmissions (45.7{\%} vs 26.5{\%}), and reduced quality of life. It is also associated with reduced cognitive functioning, including failures in attention, memory, perception, and motor function, and with functional dysfunction such as independency in activities of daily living and mobility. Conclusions Postoperative delirium after cardiac operations is associated with many important consequences. These findings provide justification for intervention studies to evaluate whether delirium prevention, early recognition, or treatment strategies might improve postoperative functional and cognitive function",
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Consequences of delirium after cardiac operations. / Hogen-Koster, S.; Hensens, A.G.; Schuurmans, M.J.; van der Palen, Jacobus Adrianus Maria.

In: Annals of thoracic surgery, Vol. 93, No. 3, 2012, p. 705-711.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Consequences of delirium after cardiac operations

AU - Hogen-Koster, S.

AU - Hensens, A.G.

AU - Schuurmans, M.J.

AU - van der Palen, Jacobus Adrianus Maria

PY - 2012

Y1 - 2012

N2 - Background Delirium is a transient mental syndrome characterized by disturbances in consciousness, cognition, and perception. The risk that delirium will develop is increased in patients who undergo cardiac operations, especially the elderly. Generally, delirium during hospital admission is independently associated with many negative consequences, such as higher mortality, increased length of hospital stay, nursing home placement after admission, and cognitive and functional decline. Methods This prospective follow-up study used the Short Form 36-Item questionnaire, the Cognitive Failure Questionnaire, and a purpose-designed questionnaire to assess 300 patients who underwent elective cardiac operations at 6 months after the procedure. Postoperative delirium developed in 52 patients (17%). Mortality and readmission were also assessed. Results Delirium after cardiac procedures is associated with increased mortality (13.5% vs 2.0% in patients without), more hospital readmissions (45.7% vs 26.5%), and reduced quality of life. It is also associated with reduced cognitive functioning, including failures in attention, memory, perception, and motor function, and with functional dysfunction such as independency in activities of daily living and mobility. Conclusions Postoperative delirium after cardiac operations is associated with many important consequences. These findings provide justification for intervention studies to evaluate whether delirium prevention, early recognition, or treatment strategies might improve postoperative functional and cognitive function

AB - Background Delirium is a transient mental syndrome characterized by disturbances in consciousness, cognition, and perception. The risk that delirium will develop is increased in patients who undergo cardiac operations, especially the elderly. Generally, delirium during hospital admission is independently associated with many negative consequences, such as higher mortality, increased length of hospital stay, nursing home placement after admission, and cognitive and functional decline. Methods This prospective follow-up study used the Short Form 36-Item questionnaire, the Cognitive Failure Questionnaire, and a purpose-designed questionnaire to assess 300 patients who underwent elective cardiac operations at 6 months after the procedure. Postoperative delirium developed in 52 patients (17%). Mortality and readmission were also assessed. Results Delirium after cardiac procedures is associated with increased mortality (13.5% vs 2.0% in patients without), more hospital readmissions (45.7% vs 26.5%), and reduced quality of life. It is also associated with reduced cognitive functioning, including failures in attention, memory, perception, and motor function, and with functional dysfunction such as independency in activities of daily living and mobility. Conclusions Postoperative delirium after cardiac operations is associated with many important consequences. These findings provide justification for intervention studies to evaluate whether delirium prevention, early recognition, or treatment strategies might improve postoperative functional and cognitive function

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