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Table 1 Patient characteristics

From: The impact of a preoperative nurse-led orientation program on postoperative delirium after cardiovascular surgery: a retrospective single-center observational study

Characteristics

Preoperative visit (+)

(n = 128)

Preoperative visit (–)

(n = 125)

P value

Characteristics at baseline

 Age, y, median (IQR)

74 (69–80)

75 (69–79)

0.82

 Male, n (%)

81 (63.3)

82 (65.6)

0.70

 Body mass index (kg/m2)

Mean ± SD

23.0 ± 3.8

23.0 ± 3.8

0.48

 Left ventricular ejection

Fraction < 50%, n (%)

35 (27.3)

33 (26.4)

0.86

 Chronic kidney disease

(eGFR < 60), n (%)

80 (62.5)

80 (64.0)

0.80

 Chronic hemodialysis, n (%)

10 (7.8)

16 (12.8)

0.19

 FEV1.0% < 70%, n (%)b

24 (18.8)

23 (18.4)

0.94

 %VC < 80%, n (%)b

47 (37.7)

74 (59.2)

 < 0.01

 Diabetes mellitus, n (%)

45 (35.2)

44 (35.2)

0.99

 History of smoking, n (%)

62 (48.4)

48 (38.4)

0.11

 Cerebrovascular disease, n (%)

17 (13.3)

16 (12.8)

0.91

 Psychiatric disorder, n (%)

2 (1.6)

1 (0.8)

1.00

 Dementia, n (%)

1 (0.8)

2 (1.6)

0.62

 History of delirium, n (%)

2 (1.6)

0 (0)

0.50

 Any of cerebrovascular and mental illness, n (%)

21 (16.4)

18 (14.4)

0.66

 Chronic benzodiazepines use

15 (11.7)

11 (8.8)

0.44

 Chronic anti-psychiatric medications use

3 (2.3)

1 (0.8)

0.62

 Chronic opioid use

1 (0.8)

0 (0)

1.0

 Previous cardiac surgery, n (%)

13 (10.2)

10 (8.0)

0.55

 EuroSCORE II

3.2 (2.08–5.44)

2.7 (1.71–4.81)

0.09

Characteristics during surgery

 Main surgery

  

0.97

  Coronary, n (%)

40 (31.3)

40 (32.0)

 

  Valve, n (%)

57 (44.5)

56 (44.8)

 

  Aorta, n (%)

28 (21.9)

25 (20.0)

 

  Others, n (%)

3 (2.3)

4 (3.2)

 

  Concomitant surgery, n (%)

36 (28.1)

42 (33.6)

0.36

  Transcatheter surgery, n (%)

18 (14.1)

13 (10.4)

0.37

  Operation time, min, mean ± SD

285 ± 103

287 ± 97

0.89

  Cardiopulmonary bypass, n (%)

78 (60.9)

75 (60.0)

0.88

Cardiopulmonary bypass time, min, median (IQR)

179 (149–215)

159 (136–187)

0.026

 Selective cerebral perfusion, n (%)

13 (16.7)

13 (17.3)

0.95

 rScO2 minimuma, %, median (IQR)

54 (47.0–61.0)

54 (50.0–59.0)

0.96

Characteristics during ICU care

 Mechanical ventilator use, n (%)

120 (93.8)

119 (95.2)

0.61

 Intubation time, hour, median (IQR)

14 (8.5–18.0)

15 (9.0–21.0)

0.21

 Length of ICU stay, hour, median (IQR)

22 (19.0–43.0)

22 (19.0–67.0)

0.29

 Propofol use, n (%)

119 (93.0)

118 (94.4)

0.64

Dexmedetomidine use, n (%)

31 (24.2)

47 (36.8)

0.030

 Benzodiazepine use, n (%)

0 (0)

0 (0)

1.00

 Antipsychotic medication use, n (%)

0 (0)

0 (0)

1.00

 Dopamine use, n (%)

96 (75.0)

103 (82.4)

0.15

 Dobutamine use, n (%)

36 (28.1)

30 (24.0)

0.46

 Noradrenaline use, n (%)

32 (25.0)

40 (32.0)

0.22

 RCC transfusion, n (%) (including during surgery)

94 (73.4)

90 (72.0)

0.80

 FFP transfusion, n (%) (including during surgery)

70 (54.7)

71 (56.8)

0.74

 PC transfusion, n (%) (including during surgery)

55 (43.0)

53 (42.4)

0.93

 Highest plasma lactate during ICU stay, mmol/L, median (IQR)

2.8 (1.4–4.4)

2.8 (1.6–4.0)

0.97

 Postoperative renal replacement therapy, n (%)

13 (10.2)

18 (14.4)

0.30

 Perioperative atrial fibrillation, n (%) (including chronic atrial fibrillation)

22 (17.2)

21 (16.8)

0.93

 APACHEII score, median (IQR)

16 (13–18)

16 (13–19)

0.22

  1. APACHE II: Acute Physiology and Chronic Health Evaluation II; eGFR: estimated glomerular filtration rate; EuroSCORE II: The European System for Cardiac Operative Risk Evaluation II; FEV1.0%: forced expiratory volume % in one second; FFP: fresh frozen plasma; ICU: intensive care unit; IQR: interquartile range; PC: platelet concentrate; RCC: red cell concentrate; rScO2: regional cerebral oxygen saturation; SD: standard deviation; %VC: % vital capacity
  2. arScO2 minimum data were missing for two patients in preoperative visit (–) and one patient in preoperative visit (+)
  3. bRespiratory spirometry test (FEV1.0% and %VC) were missing for three patients in preoperative visit (–) and two patients in preoperative visit (+)