Epidemic Preventive Management during the Coronavirus Disease 2019 Pandemic Is a Risk Factor for Delirium after Spinal Cord Injury Surgery.

IF 1.2 Q3 SURGERY
Spine Surgery and Related Research Pub Date : 2023-06-09 eCollection Date: 2023-11-27 DOI:10.22603/ssrr.2023-0033
Hiroki Ushirozako, Kota Suda, Satoko Matsumoto Harmon, Miki Komatsu, Masahiro Ota, Tomoaki Shimizu, Akio Minami, Masahiko Takahata, Norimasa Iwasaki, Yukihiro Matsuyama
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引用次数: 0

Abstract

Introduction: Epidemic preventive management during the coronavirus disease 2019 (COVID-19) pandemic may have negatively impacted perioperative outcomes in patients with traumatic spinal cord injury (SCI). However, little is known about the relationship between epidemic preventive management and delirium after traumatic SCI. Here, we clarified the predictors of delirium after SCI surgery.

Methods: We retrospectively analyzed 231 patients (mean age, 66 years) who underwent SCI surgery between 2017 and 2021. Patients were categorized into the delirium and non-delirium groups. Preoperative characteristics and laboratory data related to the occurrence of delirium were assessed. During the study period, we continued early surgical intervention. However, early rehabilitation intervention was not performed in the hospital rehabilitation room from May 2020 due to epidemic preventive management, which involved performing rehabilitation on the bed for 8 days postoperatively.

Results: Postoperatively, 33 (14.3%) patients experienced delirium. Univariate analysis showed that age (p<0.01), presence of a psychiatric disorder (p<0.05), dementia (p<0.05), serum albumin (p<0.05) and hemoglobin (p<0.01) levels, American Society of Anesthesiologists classification score (p<0.05), and treatment during the COVID-19 pandemic (p<0.01) differed significantly in the delirium and non-delirium groups. Multivariate logistic regression analysis showed that an age ≥73 years (odds ratio [OR], 15.78; 95% confidence interval [CI], 4.54-54.80; p<0.01), treatment during the COVID-19 pandemic (OR, 3.85; 95% CI, 1.61-9.22; p<0.01), and psychiatric disorder (OR, 29.38; 95% CI, 5.63-153.43; p<0.01) were associated with delirium.

Conclusions: Our comprehensive preventive management during the COVID-19 pandemic was identified as one of the risk factors for delirium after SCI surgery. Patients with preventive management should be cautioned regarding the risk of delirium.

2019 年冠状病毒疾病大流行期间的流行病预防管理是脊髓损伤手术后谵妄的风险因素。
导言:2019 年冠状病毒病(COVID-19)大流行期间的流行病预防管理可能会对创伤性脊髓损伤(SCI)患者的围手术期结果产生负面影响。然而,人们对流行病预防管理与创伤性脊髓损伤后谵妄之间的关系知之甚少。在此,我们明确了 SCI 术后谵妄的预测因素:我们回顾性分析了2017年至2021年间接受SCI手术的231名患者(平均年龄66岁)。患者被分为谵妄组和非谵妄组。评估了与谵妄发生相关的术前特征和实验室数据。在研究期间,我们继续进行早期手术干预。但是,由于流行病预防管理的原因,从2020年5月起,我们没有在医院康复室进行早期康复干预,即术后8天在床上进行康复训练:术后,33 例(14.3%)患者出现谵妄。单变量分析表明,年龄(p结论:我们在 COVID-19 大流行期间进行的全面预防管理被认为是 SCI 手术后出现谵妄的风险因素之一。应提醒接受预防性管理的患者注意谵妄的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
71
审稿时长
15 weeks
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