Skip to main content

Table 3 Predictors for postoperative delirium

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

 

Univariable OR (95% CI)

P value

Multivariable OR (95% CI)

P value

Preoperative visit

0.44 (0.23–0.83)

0.011

0.29 (0.13–0.64)

 < 0.01

Characteristics at baseline

 Age ≥ 75 years old

1.56 (0.84–2.87)

0.16

  

 Male

0.57 (0.31–1.06)

0.076

  

 Body mass index per 1 point increase

0.88 (0.80–0.97)

 < 0.01

0.92 (0.82–1.02)

0.11

 Left ventricular ejection fraction < 50%

1.99 (1.04–3.80)

0.037

1.56 (0.72–3.38)

0.26

 Chronic kidney disease (eGFR < 60)

2.25 (1.11–4.55)

0.024

0.93 (0.38–2.28)

0.88

 FEV1.0 < 70%a

2.44 (1.21–4.92)

0.013

1.47 (0.64–3.37)

0.36

 %VC < 80%a

1.65 (0.89–3.05)

0.11

  

 Diabetes mellitus

0.97 (0.51–1.84)

0.92

  

 History of smoking

1.04 (0.56–1.92)

0.90

  

 Any cerebrovascular or mental illness

1.66 (0.76–3.60)

0.20

  

 Previous cardiac surgery

5.18 (2.14–12.6)

< 0.01

3.08 (1.06–8.97)

0.039

 EuroSCORE II per 1 point increase

1.27 (1.15–1.41)

 < 0.01

1.21 (1.06–1.38)

 < 0.01

Characteristics during surgery

 Median full sternotomy

2.07 (0.87–4.89)

0.096

  

 Transcatheter surgery

0.92 (0.36–2.37)

0.86

  

 Operation time per 1 h increase

1.28 (1.06–1.54)

 < 0.01

1.17 (0.95–1.46)

0.14

 Cardiopulmonary bypass use

1.81 (0.93–3.50)

0.080

  

 rScO2 minimum per 1% increaseb

0.95 (0.92–0.98)

 < 0.01

0.96 (0.92–0.99)

0.032

 Transfusion received

2.45 (1.09–5.52)

0.030

0.99 (0.36–2.77)

0.99

 Highest plasma lactate level ≥ 2.0 mmol/l

1.71 (0.92–3.18)

0.088

  
  1. eGFR: estimated glomerular filtration rate; EuroSCORE II: The European System for Cardiac Operative Risk Evaluation II; FEV1.0%: forced expiratory volume % in one second; ICU: intensive care unit; rScO2: regional cerebral oxygen saturation; %VC: % vital capacity
  2. aThree patients in preoperative visit (–) and two patients in preoperative visit (+) were not evaluated in preoperative pulmonary function test because they had no problems in their physical activities. We considered these patients' results of spirometry to be normal in logistic regression model
  3. bRegional cerebral oxygen saturation (rScO2) at the forehead was not measured in two patients in preoperative visit (–) and one patient in preoperative visit (+), they were treated as missing values in multivariate logistic regression model