Surviving and Thriving 1 Year After Cardiac Surgery: Frailty and Delirium Matter
| Autor: | Hsiu-Ching Li, Nai-Hsin Chi, Sharon K. Inouye, Yu-Chung Wei, Ssu-Yuan Chen, Shoei-Shen Wang, Ron-Bin Hsu, Yih-Sharng Chen, Cheryl Chia-Hui Chen |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Activities of daily living Heart Diseases Barthel index 030204 cardiovascular system & hematology Article 03 medical and health sciences Postoperative Complications 0302 clinical medicine Cause of Death Internal medicine Activities of Daily Living medicine Humans Postoperative delirium Cardiac Surgical Procedures Aged Confusion Aged 80 and over Frailty business.industry Delirium Middle Aged University hospital Functional recovery Cardiac surgery Survival Rate Treatment Outcome 030228 respiratory system Female Surgery medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Ann Thorac Surg |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2020.07.015 |
| Popis: | BACKGROUND. We compared 1-year functional outcomes for 4 cardiac surgery patient groups: comparison (without preoperative frailty or postoperative delirium [POD]), frailty only (with preoperative frailty only), POD only (with POD only), and frailty-POD (combined frailty and POD). METHODS. Consecutive cardiac surgery patients (n=298) at a university hospital were assessed for preoperative frailty using Fried’s phenotype, and POD was assessed daily for 10 days after surgery using the Confusion Assessment Method. Functional outcomes (Barthel Index for activities of daily living [ADL]) and all-cause mortality were evaluated 1-year postoperatively. RESULTS. Preoperative frailty presented in 85 (28.5%) and POD developed in 38 (12.8%) participants. Frail participants were at increased risk of POD (odds ratio=4.9; P |
| Databáze: | OpenAIRE |
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