Document Detail


Delirium after cardiac surgery: a critical review.
MedLine Citation:
PMID:  8887815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Numerous articles have been published investigating the incidence of and risk factors for delirium after cardiac surgery. Smith and Dimsdale reviewed the literature on postcardiotomy delirium in 1987 using a meta-analysis of 44 research studies. However, doubts about their methods and results caused the authors to re-examine the literature using these 44 references as well as computerized literature searches to gather research and review papers from medical journals. Delirium after cardiac surgery appeared to be ill-defined in most of these studies. The methods and instruments used to assess delirium proved to be very different, and the patient samples were rather heterogeneous. Therefore, in most cases, the results are not comparable. Only a small number of the studies that were examined fit the criteria for statistical meta-analysis. On the basis of our analysis, a tentative conclusion may be drawn that the incidence of postcardiotomy delirium has declined slightly and that no strong risk factors have yet been identified.
Authors:
R C van der Mast; F H Roest
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Publication Detail:
Type:  Journal Article; Meta-Analysis    
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  41     ISSN:  0022-3999     ISO Abbreviation:  J Psychosom Res     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1997-02-24     Completed Date:  1997-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  13-30     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, University Hospital-Dijkzigt, Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Delirium / diagnosis*,  epidemiology
Heart Diseases / surgery*
Humans
Netherlands / epidemiology
Postoperative Complications / diagnosis*,  epidemiology
Prospective Studies
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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