Risk Factors for Postoperative Delirium in Children with Congenital Heart Disease: a Prospective Nested Case-control Study

Overview

Journal Zhongguo Dang Dai Er Ke Za Zhi

Specialty Pediatrics

Date 2022 Mar 30

PMID 35351251

Authors

Juan Lyu

Yan Jia

Meng Yan

Yan Zhao

Ya-Fei Liu

Ya-Li Li

Yang Li

Affiliations

Soon will be listed here.

Abstract

Objectives: To study the risk factors for postoperative delirium (POD) in children with congenital heart disease.

Methods: A prospective nested case-control study was performed on children with congenital heart disease who underwent surgery in Fuwai Hospital, Chinese Academy of Medical Sciences, from December 2020 to June 2021. The clinical data were compared between the POD group (=114) and non-POD group (=102). A multivariate unconditional logistic regression analysis was used to investigate the risk factors for POD in children with congenital heart disease.

Results: The multivariate logistic regression analysis showed that age (=0.951, <0.001), gender (=2.127, =0.049), number of invasive catheters per day (=1.490, =0.017), degree of postoperative pain (=5.856, <0.001), and preoperative parental anxiety level (=1.025, =0.010) were independent risk factors for POD in children with congenital heart disease.

Conclusions: The risk of POD increases in children with congenital heart disease who are younger, male, have higher number of invasive catheters per day, higher degree of postoperative pain, or higher preoperative parental anxiety level.

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