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首页> 外文期刊>Journal of International Medical Research >Preoperative risk factors for delirium in patients aged ≥75 years undergoing spinal surgery: a retrospective study
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Preoperative risk factors for delirium in patients aged ≥75 years undergoing spinal surgery: a retrospective study

机译：患者患者患者的术前危险因素≥75岁，接受脊髓外科：回顾性研究

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Objective The increasing number of spinal surgeries being performed in the elderly has increased the incidence of postoperative delirium. The prediction of delirium is complex, and few studies have been performed to examine the preoperative risk factors for delirium after spinal surgery in the elderly. This study was performed to clarify such risk factors in patients aged ≥75 years undergoing spinal surgery. Method This retrospective observational study included 299 patients aged ≥75 years. Comorbidities, medication history, preoperative examination findings, surgery-related characteristics, and health scale assessments, including the 36-Item Short-Form Survey (SF-36) score and prognostic nutritional index (PNI), were examined as potential risk factors for delirium. Results Delirium occurred in 53 patients (17.7%). The preoperative risk factors for delirium were a history of stroke and mental disorders, hypnotic drug use, malnutrition, hyponatremia, anemia, respiratory dysfunction, and cervical surgery. Logistic regression analysis demonstrated that the independent predictors of delirium were a history of stroke, non-benzodiazepine hypnotic drug use, preoperative hyponatremia, the PNI, and the SF-36 physical component summary (PCS) score. Conclusions Independent preoperative predictors of delirium in elderly patients undergoing spinal surgery included a history of stroke, non-benzodiazepine hypnotic drug use, preoperative hyponatremia, the PNI, and the SF-36 PCS score.
机译：目的越来越多的老年脊柱手术人数增加了术后谵妄的发病率。谵妄的预测是复杂的，已经进行了很少的研究，以检查老年脊柱手术后谵妄术前的术前危险因素。本研究进行了澄清患者≥75岁的患者患者的危险因素。该回顾性观测研究包括299名≥75岁的患者。在谵妄的潜在危险因素中，将患有36项短型调查（SF-36）得分和预后营养指数（PNI）的共同组织，药物历史，术前检查结果，手术相关的特征和健康规模评估。 。结果谵妄发生在53名患者（17.7％）。谵妄的术前风险因素是中风和精神障碍，催眠药使用，营养不良，低钠血症，贫血，呼吸功能障碍和宫颈手术的历史。 Logistic回归分析表明，谵妄的独立预测因子是中风历史，非苯二氮卓催眠药，术前低钠血症，PNI和SF-36物理组件概要（PCS）得分。结论接受脊髓外科老年患者谵妄的独立术前预测因素包括卒中史，非苯二氮卓催眠药，术前低钠血症，PNI和SF-36 PCS得分。

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