کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5733917 1612525 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Shock/Sepsis/Trauma/Critical CarePostoperative delirium is associated with increased intensive care unit and hospital length of stays after liver transplantation
ترجمه فارسی عنوان
شوک / سپسیس / تروما / دلیریم مراقبت های ویژه حاملگی با افزایش بخش مراقبت های ویژه و مدت زمان بستری بیمارستانی پس از پیوند کبدی همراه است
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundDelirium is increasingly recognized as a common and important postoperative complication that significantly hinders surgical recovery. However, there is a paucity of data examining the incidence and impact of delirium after liver transplantation.MethodsRetrospective case series in a tertiary care center examining all (n = 144) adult patients who underwent liver transplantation during a 6-y period.ResultsDelirium occurred in 25% of the patients with an average duration of 4.56 d. Patients who developed delirium were older (P = 0.007), had higher preoperative model for end-stage liver disease score (P = 0.019) and longer pretransplant hospital length of stay (LOS; P = 0.003). Patients with delirium were also more likely to have alcohol ingestion as an etiology of the liver failure (P = 0.033). Delirious patients had a trend toward increased ventilator days (P = 0.235) and significantly longer postoperative hospital (P = 0.001) and intensive care unit LOS (P = 0.001). Delirium was also associated with an increased frequency of hospital acquired infections including urinary tract infections (P = 0.005) and pneumonias (P = 0.001).ConclusionsDelirium is a common occurrence among liver transplant patients associated with increased complications and LOSs. Further prospective studies are needed to determine the specific risk factors in this complex population and to determine if delirium has an impact on long-term outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Surgical Research - Volume 207, January 2017, Pages 223-228
نویسندگان
, , , , , , , , , , , , , ,