The Incidence and Impact of Abdominal Surgery on Delirium in Abdominal Trauma Patients

Purpose The occurrence of trauma-related delirium following postoperative abdominal surgery is associated with a poor prognosis. The purpose of this study was to identify predictive risk factors for trauma-related delirium. Methods Trauma patient data from a regional trauma center were retrospective...

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Bibliographic Details
Published in:Journal of Acute Care Surgery
Main Authors: Hyun Seok Roh, Yun Cheol Park, Young Goun Jo, Jung Chul Kim
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2020-07-01
Subjects:
abdominal injuries
critical care
delirium
Online Access:http://www.jacs.or.kr/upload/pdf/jacs-2020-10-2-42.pdf
Description
Summary:Purpose The occurrence of trauma-related delirium following postoperative abdominal surgery is associated with a poor prognosis. The purpose of this study was to identify predictive risk factors for trauma-related delirium. Methods Trauma patient data from a regional trauma center were retrospectively collected from August 2015 to December 2016. The primary inclusion criteria were patients diagnosed with trauma-related delirium following abdominal trauma surgery. Head trauma patients and those under 18 years of age were excluded from this study. A multivariate logistic regression analysis was performed to identify the risk factors associated with trauma-related delirium. Results Of the 255 trauma patients who met the inclusion criteria, 32 (12.5%) were diagnosed with delirium. The mean values for the age of the patients, Injury Severity Score, Glasgow Coma Scale score, and length of intensive care unit stay were 52.1 ± 17.8 years, 16.9, 14, and 7.1 days, respectively. Among the measured parameters, age [odds ratio (OR), 1.03; 95% confidence interval (CI), 1.01–1.06; p = 0.022)], sex (OR, 0.125; 0.03–0.55; p = 0.006), hemoglobin level (OR, 0.875; CI, 0.68–0.98; p = 0.03), length of stay in the intensive care unit (OR, 1.12; CI, 1.03–1.22; p = 0.01), and having an abdominal operation (OR, 2.92; CI, 1.10–7.23; p = 0.011) showed strong correlations with trauma-related delirium Conclusion This study showed that abdominal surgery was strongly associated with delirium in patients with traumatic abdominal injury. Thus, changes in consciousness should be carefully monitored following surgery.
ISSN:2288-5862
2288-9582

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