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Incidence, risk factors, and consequences of emergence delirium after elective brain tumor resection
- Source :
- The Surgeon. 20:e214-e220
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- Background Emergence delirium (ED) is a common phenomenon occurring in the recovery period. The aim of this study was to investigate the incidence, risk factors, and consequences of ED in adults after elective brain tumor resection. Methods We retrospectively analyzed the data of a prospective cohort performed in a tertiary university hospital. Adult patients admitted to the intensive care unit (ICU) immediately after elective brain tumor resection were consecutively enrolled. Level of consciousness was assessed using the Richmond Agitation–Sedation Scale and ED was assessed using the Confusion Assessment Method for the ICU. Risk factors for ED were determined by multivariable logistic regression. Results A total of 659 patients met the inclusion criteria, of which 41 patients with coma were excluded. Among the remaining 618 patients, 131 (21.2%) developed ED. Independent risk factors for ED were: age, education level, use of anticholinergic and mannitol, Glasgow Coma Score and arterial partial pressure of oxygen postoperatively, postoperative pain, malignant tumor, and frontal approach craniotomy. ED was associated with increased postoperative delirium, longer length of hospital stay, and higher hospitalization costs. There was no significant difference in the neurological function deficits (modified Rankin Scale score) between ED and non-ED groups. Conclusions ED has a high incidence and is associated with poor outcomes in adults after elective brain tumor resection. Early screening and prevention for ED should be established in perioperative management of this population.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Population
Cholinergic Antagonists
law.invention
Emergence Delirium
Risk Factors
Modified Rankin Scale
law
Internal medicine
medicine
Humans
Mannitol
Prospective Studies
Coma
education
Prospective cohort study
Craniotomy
Retrospective Studies
education.field_of_study
Brain Neoplasms
business.industry
Incidence
Glasgow Coma Scale
medicine.disease
Intensive care unit
Oxygen
Intensive Care Units
Emergence delirium
Surgery
medicine.symptom
business
Subjects
Details
- ISSN :
- 1479666X
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- The Surgeon
- Accession number :
- edsair.doi.dedup.....01ed437b55bcd551f40306a8fc2ed17b