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Despite recent advances in postoperative delirium research, the proportion of patients with postoperative delirium is still high ranging between 20-80%. Although postoperative delirium is a frequent complication and is associated with the need for more inpatient hospital care and longer length of hospital stay, little is known about risk factors for recovery room delirium (RRD) occurred in postanaesthesia care unit. The aim of the study was to determine pre- and intraoperative risk factors for the development of RRD among patients undergoing non cardiovascular surgery.
Recovery room delirium (RRD) defined as delirium occurred in PACU was diagnosed according to CAM-ICU criteria. Pre-, intra-, and postoperative data of patients undergoing elective non cardiovascular surgery were prospectively collected, univariate and multivariate logistic regression were performed to find the risk factors related to postoperative delirium.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delirium | Delirium was determined by CAM-ICU | ||
| no Delirium | no Delirium was determined by CAM-ICU |
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| Measure | Description | Time Frame |
|---|---|---|
| The incidence of delirium in post anesthesia care unit (PACU) determined by confusion assessment method (CAM) -ICU criteria | at 1 hour after operation |
| Measure | Description | Time Frame |
|---|---|---|
| heart rate in PACU | heart rate was recorded every 10 min during PACU stay, maximal and minimal heart rate were collected for analysis | every 10 mins |
| Pulse Oximeter Oxygen Saturation (SpO2) in PACU |
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Inclusion Criteria:
Exclusion Criteria:
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Patients over the age of 18yr, who were admitted to the PACU after elective surgery under general anaesthesia during regular working hours (9:00Am to 5:00Pm)
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| Name | Affiliation | Role |
|---|---|---|
| Yuke Tian, MD. | Department of Anaesthesiology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anaesthesiology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology | Wuhan | Hubei | 430030 | China |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| every 10 mins |
| Hospital-length of stay | up to 6 months |
| Total health care fees | up to 6 months |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |