Sema TURAN, Çağıl VURAL, Hakan Volkan ACAR, Tuğba KAVASOĞLU, Mehmet Özcan ERDEMLİ, Kemal KAVASOĞLU

Delirium after open heart surgery

Amaç: Bu çalışmada açık kalp cerrahisi yapılan hastalarda deliryuminsidansı ve muhtemel risk faktörleri belirlendi. Çalışmaplanı:Nisan 2011 - Kasım 2011 tarihleri arasında, açıkkalp cerrahisi uygulanan 400 hastanın (276 erkek, 124 kadın; ort.yaş 59.7 yıl; dağılım 19-91 yıl) ameliyat öncesi, ameliyat sırası veameliyat sonrası verileri kaydedildi. Ameliyat sonrası 24. ve 72.saatlerde hastalara Yoğun Bakım Ünitesi-Konfüzyon DeğerlendirmeÖlçeği (YBÜ-KDÖ) uygulandı. Yoğun bakım hekimleri tarafındandeliryum öntanısıyla konsülte edilen hastalar ile YBÜ-KDÖ sonucupozitif olan hastalar karşılaştırıldı. Bul gu lar: Deliryum insidansı 24. ve 72. saatlerde sırasıyla%3.8 ve %1.8 idi. Deliryum olduğu bildirilen hastalar ileYBÜ-KDÖ uygulanarak deliryum tanısı konulan hastalarınklinik gözlemleri arasında istatistiksel olarak anlamlı farkbulundu (p

Açık kalp cerrahisi sonrası deliryum

Background: This study aims to determine the incidence of deliriumand possible risk factors in patients undergoing open heart surgery. Methods: Between April 2011 and November 2011, preoperative,intraoperative, and postoperative data of 400 patients (276 males, 124females; mean age 59.7 years; range 19 to 91 years) who underwentopen heart surgery were recorded. The Confusion Assessment Methodfor the Intensive Care Unit (CAM-ICU) was applied to the patients at24 and 72 hours following surgery. The patients who were consultedby ICU physicians with a preliminary diagnosis of delirium werecompared to the patients whose CAM-ICU results were positive. Results: The incidences of delirium were 3.8% and 1.8% at 24and 72 hours, respectively. There was a statistically significantdifference between the clinical observations of the patients whowere reported to have delirium and those who were diagnosed withdelirium after the application of the CAM-ICU (p

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