Minyoung Kim
University of Ulsan, South Korea
Title: Incidence and risk factors of postoperative delirium after peripheral vascular
Submitted Date: September 09, 2016
Biography
Minyoung Kim has completed her Ph.D. at the age of 34 years and Assistant Professor from Ulsan University School of Nursing. She is the Adult Health advanced practice nurse for 10years. And she has published 9 papers in reputed journals.rnrn
Abstract
Title: Incidence and risk factors of postoperative delirium after peripheral vascular surgeryrnResponsesrn Name: Minyoung Kim, APN, PhD1 rn Euna Park, RN, PhD2rn1 APN, PhD, Assistant Professor, Department of Nursing, Ulsan University, Ulsan, South Korea rn 2 RN, PhD, Associate Professor, Department of Nursing, Pukyong University, Busan, South KorearnPurpose: Postoperative delirium has increased recently along with the aging population. Vascular surgery has been reported to be associated with a high incidence of postoperative delirium. We evaluated the incidence and the risk factors of postoperative delirium after vascular surgery. rnrnMethods: 212 patients who underwent vascular surgery in hospital during 3 years were retrospectively analyzed. Incidence, onset, duration, and risk factors were analyzed. rnrnResults: Mean age was 67.2 (SD ± 10.4) and male were 84.0%. Postoperative delirium was developed in 56 patients (26.4%) mostly on the day of operation and postoperative day one (range 0-3). Mean duration of delirium was 2.2 days (1-7). Logistic regression analysis identified the following risk factors; old age (OR; 1.107, 95% CI; 1.043 to 1.174; P=.001), hearing impairment (OR; 14.915, 95% CI; 1.350 to 12.615; P=.027), low physical activity (OR; 3.294, 95% CI; 1.129 to 9.609; P=.029), pain score (OR; 1.629, 95% CI; 1.095 to 2.423; P=.016), low serum albumin (< 3.2 g/dL) (OR; 3.409, CI; 1.206 to 9.634; P=.021), low serum cholesterol (< 120 mg/dL) (OR; 3.118, CI; 1.202 to 8.086; P=.019). rnrnConclusion: The incidence of delirium presents in more than a fourth of all vascular surgery cases. The vulnerable population with delirium can be identified pre- or immediate post-operatively based on the study result.rn