Document Detail


Incidence of and preoperative predictors for delirium after cardiac surgery.
MedLine Citation:
PMID:  10404482     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Incidence of and preoperative predictors for postoperative delirium were studied in 296 patients (age 26-83 years, mean age 63 years) undergoing elective cardiac surgery. Delirium occurred in 40 (13.5%) patients. Predictors included old age, low level of albumin, poor physical condition, use of nifedipine, and a high ratio of the amino acids phenylalanine to the sum of isoleucine, leucine, valine, tyrosine, and tryptophan. These findings suggest that preoperative physical condition and amino acid disturbances may be related to delirium after cardiac surgery in the elderly.
Authors:
R C van der Mast; W W van den Broek; D Fekkes; L Pepplinkhuizen; J D Habbema
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  46     ISSN:  0022-3999     ISO Abbreviation:  J Psychosom Res     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-09-02     Completed Date:  1999-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  479-83     Citation Subset:  IM    
Affiliation:
Psychiatric Hospital Amsterdam, The Netherlands. ts_psych@wxs.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Amino Acids / blood
Cardiac Surgical Procedures / adverse effects*
Delirium / blood,  etiology*,  physiopathology*
Female
Humans
Hydrocortisone / blood
Incidence
Male
Middle Aged
Neuropsychological Tests
Odds Ratio
Predictive Value of Tests
ROC Curve
Serum Albumin / metabolism
Thyroid Hormones / blood
Vitamin B Complex / blood
Chemical
Reg. No./Substance:
0/Amino Acids; 0/Serum Albumin; 0/Thyroid Hormones; 12001-76-2/Vitamin B Complex; 50-23-7/Hydrocortisone

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


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