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Preoperative assessment of hyperactive delirium risk after head and neck surgery with free tissue transfer reconstruction.
Imai, Takayuki; Takasago, Teiko; Nakanome, Ayako; Morita, Shinkichi; Miyakura, Yuya; Sasaki, Kento; Ito, Kazue; Goto, Takahiro; Asada, Yukinori.
Afiliación
  • Imai T; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan. Electronic address: imai-ta479@miyagi-pho.jp.
  • Takasago T; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Nakanome A; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Morita S; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Miyakura Y; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Sasaki K; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Ito K; Department of Head and Neck Medical Oncology, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Goto T; Department of Plastic and Reconstructive Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
  • Asada Y; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
Auris Nasus Larynx ; 51(6): 929-932, 2024 Sep 20.
Article en En | MEDLINE | ID: mdl-39305787
ABSTRACT

OBJECTIVE:

Hyperactive delirium with agitation following head and neck surgeries with free tissue transfer reconstruction (HNS-FTTR) represents a critical and potentially life-threatening postoperative complication. Although preoperative risk assessment is important, no established risk screening tool has been developed to accurately predict its occurrence.

METHODS:

In this retrospective observational study, we examined 192 consecutive patients who underwent HNS-FTTR between August 2019 and January 2024. We assessed the effectiveness of the existing delirium risk screening system, the DELirium Team Approach program which includes factors such as age ≥ 70 years, presence of brain disorders, dementia, alcohol consumption habits, a history of delirium, and use of benzodiazepines. Additionally, we explored the association between each risk factor and the onset of delirium.

RESULTS:

Delirium occurred in 43 patients (22.4 %). The risk screening tool effectively predicted the occurrence of hyperactive delirium after HNS-FTTR (OR 8.316; 95 % CI 2.205-36.060; p = 0.004), with a sensitivity of 95.3 % and a specificity of 28.9 %. Multivariate analysis revealed age ≥ 70 years (OR 2.179; 95 % CI 1.058-4.662; p = 0.0383) and alcohol consumption habits (OR 2.554; 95 % CI 1.260-5.268; p = 0.0098) as significant independent risk factors.

CONCLUSION:

Our findings suggest that the risk screening system evaluated in this study appears to be sensitive, simple, and effective for the preoperative prediction of hyperactive postoperative delirium following HNS-FTTR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Auris Nasus Larynx Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Auris Nasus Larynx Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos