Surgery Clinical Trial
Official title:
Abdominal Aortic Aneurysm Patients Remain at Risk for Delirium on the Surgical Ward After Intensive Care Unit Dismissal
The incidence of delirium following open abdominal aortic aneurysm (AAA) surgery is
significant, with incidence rates ranging from 12 to 33%. The occurrence of delirium on the
surgical ward after intensive care unit (ICU) dismissal in AAA patients remains unclear.
Differences in outcomes between a delirium on the ICU and a delirium on the surgical ward
have not been previously investigated.
Delirium is a frequent complication in patients who underwent open AAA surgery. This study
demonstrated that patients on the surgical ward remain at risk for developing a delirium
after ICU dismissal. Physicians should therefore maintain a high level of awareness for
delirium in AAA patients who return to the surgical ward after ICU dismissal. This
simultaneously emphasises the necessity of delirium preventive measures and early recognition
on the surgical ward in order to improve clinical outcomes.
The incidence of delirium following open abdominal aortic aneurysm (AAA) surgery is
significant, with incidence rates ranging from 12 to 33%. The occurrence of delirium on the
surgical ward after intensive care unit (ICU) dismissal in AAA patients remains unclear.
Differences in outcomes between a delirium on the ICU and a delirium on the surgical ward
have not been previously investigated.
An observational cohort study was conducted that included all patients treated electively for
an abdominal aortic aneurysm (AAA) by open repair and patients undergoing emergency treatment
for a ruptured AAA between 2013 and 2018. The diagnosis of delirium was verified by a
psychiatrist or geriatrician using the Diagnostic and Statistical Manual of Mental Disorders
(DSM-V) criteria. Cox proportional hazards regression analysis was used to analyse 6- and
12-months survival rate.
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