Document Detail


Delirium after coronary bypass surgery evaluated by the organic brain syndrome protocol.
MedLine Citation:
PMID:  12201975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim was to evaluate symptoms of delirium from a psychogeriatric perspective occurring postoperative to coronary bypass surgery. DESIGN: Patients, > or = 60 years, scheduled for coronary bypass surgery (n = 52) were enrolled in a prospective descriptive study. The patients were evaluated before and several times after surgery by the Organic Brain Syndrome scale, and delirium was diagnosed according to psychiatric codes. RESULTS: Of the 52 patients, 23% presented delirium. These patients were older than the control group, 73.5 +/- 4.2 and 69.3 +/- 5.9 years, respectively (mean +/- SD, p < 0.01), and had more frequently a history of previous stroke (p < 0.05). Emotional delirium was seen in 83%, hyperactive delirium in about 40%, and 25% were classified to have a psychotic delirium. A major finding was a 58% frequency of hallucinations and illusions among patients with delirium, and a similar rate among those without delirium. CONCLUSION: Delirium is common after cardiac surgery in particular in older patients, but is often under-diagnosed. Hallucinations were common in both delirious and non-delirious patients.
Authors:
Marléne Eriksson; Elsa Samuelsson; Yngve Gustafson; Torkel Aberg; Karl Gunnar Engström
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  36     ISSN:  1401-7431     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-30     Completed Date:  2003-01-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  250-5     Citation Subset:  IM    
Affiliation:
Department of Surgery and Perioperative Science, Cardiothoracic Division, Umeå University Hospital, Umeå Sweden.
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MeSH Terms
Descriptor/Qualifier:
Aged
Clinical Protocols
Coronary Artery Bypass / adverse effects*
Coronary Disease / complications,  surgery
Delirium / complications,  diagnosis*,  etiology*
Delirium, Dementia, Amnestic, Cognitive Disorders / complications,  diagnosis*,  etiology*
Female
Hallucinations / complications
Humans
Intensive Care
Length of Stay
Male
Postoperative Complications / diagnosis*
Treatment Outcome

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


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