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Table 1 Patient characteristics, details of surgery, laboratory investigation, and prognostic outcomes

From: Incidence and risk factors of delirium in multi-center Thai surgical intensive care units: a prospective cohort study

 

Delirium (n = 162)

Non delirium (n = 4288)

P

Variables

   

 Age (year) mean ± SD

65.3 ± 15.6

61.8 ± 17.3

0.013

  <40 (n, %)

11 (6.8)

537 (12.5)

 

  40–70 (n, %)

76 (47.0)

2175 (50.7)

 

  >70 (n, %)

75 (46.2)

1576 (36.8)

 

 Male (n, %)

102 (63.0)

2505 (58.4)

0.249

 Body mass index (kg/m2) (mean ± SD)

22.0 ± 4.6

23.0 ± 5.7

0.031

 ASA PS (n, %)

  

<0.001

  I–II

26 (23.6)

1291(39.0)

 

  III

58 (52.7)

1620 (49.0)

 

  IV–VI

26 (23.6)

392 (12.0)

 

 Comorbidity (n, %)

   

  Hypertension

75 (46.3)

2130 (49.7)

0.399

  Diabetes mellitus

33 (20.4)

946 (22.1)

0.610

  Coronary artery disease

15 (9.4)

433 (10.1)

0.728

  Congestive heart failure

11 (6.8)

93 (2.2)

<0.001

  COPD

21 (12.9)

184 (4.3)

<0.001

  Chronic renal failure

25 (15.4)

406 (9.5)

0.012

 Smoking history (n, %)

  

<0.001

  Current smokers

32 (19.7)

498 (11.6)

 

  Ex-smokers

50 (30.8)

1054 (24.6)

 

  Non smokers

80 (49.4)

2736 (63.8)

 

 Numbers of pack years median (P25–75)

15.5( 10–25)

15 (6–30)

0.631

 Numbers of operative patients (n, %)

119 (73.5)

3377 (79.8)

0.118

 Sites of SICU (n, %)

  

<0.001

  Site A (incidence 1.9 %)

18 (11.1)

922 (21.5)

 

  Site B (incidence 1.2 %)

5 (3.1)

404 (9.4)

 

  Site C (incidence 2.7 %)

15 (9.3)

545 (12.7)

 

  Site D (incidence 1.9 %)

8 (5.0)

402 (9.3)

 

  Site E (incidence 0.8 %)

3 (1.8)

390 (9.1)

 

  Site F (incidence 0 %)

0

139 (3.2)

 

  Site G (incidence 13.9 %)

109 (67.3)

675 (15.7)

 

  Site H (incidence 0.8 %)

3 (1.8)

368 (8.6)

 

  Site I (incidence 0.2 %)

1 (0.6)

443 (10.5)

 

 Emergency surgery (n, %)

79 (66.4)

987 (29.2)

<0.001

 Site of surgery (n, %)

   

  Upper abdomen

56 (34.6)

1182 (27.6)

0.051

  Lower abdomen

43 (26.5)

1178 (27.5)

0.795

  Thoracic

15 (9.8)

162 (3.8)

<0.001

  Vascular

5 (3.1)

134 (3.1)

0.978

  Extremities

14 (8.6)

371 (8.3)

0.883

  Anus

1 (0.62)

52 (1.2)

0.493

  Other surgeries

28 (17.2)

1209 (28.2)

0.001

 Duration of surgery (min) median (P25–75)

180 (105–275)

240 (150–360)

<0.001

 Amount of PRC transfusion (ml) median (P25–75)

100 (0–635)

0 (0–511)

0.274

 Amount of FFP transfusion (ml) median (P25–75)

0 (0–780)

0 (0–0)

<0.001

 APACHE II median (P25–75)

16 (12–23)

10 (7–15)

<0.001

 SOFA median (P25–75)

5 (2–8)

2 (1–5)

<0.001

 Sepsis (n, %)

109 (67.3)

779 (18.2)

<0.001

 Mechanical ventilation (n, %)

141 (87.0)

2635 (61.8)

<0.001

 Albumin (g/dl) (mean ± SD)

2.4 ± 0.85

2.8 ± 0.80

<0.001

 Hemoglobin (g/dl) (mean ± SD)

9.7 ± 2.6

10.6 ± 2.1

<0.001

 Blood sugar (mg%) (mean ± SD)

144.0 ± 72.0

164.1 ± 68.8

0.013

 PaO2 (mmHg) (mean ± SD)

144.0 ± 72.1

164.1 ± 0.81

0.013

 Exposure to sedative drugs (n, %)

110 (67.9)

932 (21.7)

<0.001

 Exposure to analgesic drugs (n, %)

134(82.7)

3683 (85.9)

0.256

 ICU admission diagnosis (n, %)

  

0.005

  Abdominal

71 (43.8)

1728 (40.3)

 

  Cardiovascular

31 (19.1)

662 (15.4)

 

  Respiratory

17 (10.5)

335 (7.8)

 

  Renal

10 (6.2)

356 (8.3)

 

  Other

33 (20.4)

1207 (28.2)

 

Prognostic outcomes

   

 Ventilator days (days) median (P25–75)

7 (4–17)

2 (1–4)

<0.001

 Length of ICU stay (days) median (P25–75)

8 (5–19)

2 (1–4)

<0.001

 Duration of hospital stay (days) median(P25–75)

22 (14–34)

15 (9–26)

<0.001

 ICU mortality (n, %)

38 (23.5)

349 (8.1)

<0.001

 28-day mortality (n, %)

45 (27.8)

534 (12.4)

<0.001

  1. Data are presented as mean ± standard deviation (SD), median and 25 and 75 % interquartile range, and number (%)
  2. ASA PS American Society of Anesthesiologists physical status, COPD chronic obstructive pulmonary disease, PRC packed red cell, FFP fresh frozen plasma, APACHE II Acute Physiology and Chronic Health Evaluation II, SOFA sequential organ failure assessment, ICU intensive care unit