局部麻醉下眼科手术后谵妄与视力的关系。

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY
Yusuke Koga, Koji Kitazawa, Gen Shinozaki, Kengo Yoshii, Jun-Wei B Hughes, Yohei Yamashita, Kentaro Kojima, Morio Ueno, Shigeru Kinoshita, Chie Sotozono
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引用次数: 0

摘要

目的:探讨局麻眼科手术后谵妄(POD)的发生率及危险因素。研究设计:回顾性研究方法:回顾性调查2009年1月至2023年3月期间4658例玻璃体切除或青光眼手术患者POD的发病率,并与非谵妄患者进行多因素logistic回归分析。危险指标包括年龄、性别、手术时间、术前最佳矫正视力(前bcva)、痴呆合并症、镇静或催眠药物的使用。结果:4658例患者中有19例发生POD(0.41%)。POD在老年患者和痴呆患者中更为普遍(P < 0.001和P < 0.001)。然而,性别、手术时间、镇静或催眠药物的使用与POD无关。POD患者手术眼或同侧眼bcva较低的可能性更大(P = 0.003和P = 0.001)。多因素logistic回归分析显示,年龄(优势比[OR], 1.06;95%置信区间[CI], 1.00-1.12;P = 0.04),痴呆(OR, 34.95;95% ci, 12.32-99.15;P < 0.001),手术眼bcva前期(OR, 2.00;95% ci, 1.13-3.53;P = 0.02)和同侧眼bcva前病变(OR, 1.83;95% ci, 1.16-2.89;P = 0.01)与发生POD显著相关。结论:局部麻醉下眼科手术后出现POD。确定的危险因素包括年龄较大、共病性痴呆和低前bcva。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of postoperative delirium with visual acuity after ophthalmic surgeries under local anesthesia.

Purpose: To investigate the incidence rate and risk factors for postoperative delirium (POD) following ophthalmic surgery under local anesthesia.

Study design: A retrospective study METHODS: We retrospectively investigated the incidence rate of POD in 4658 patients who underwent vitrectomy or glaucoma surgery between January 2009 to March 2023 and analyzed the risk factors with multivariate logistic regression compared to non-delirium patients. Risk indices included age, sex, operation time, preoperative best-corrected visual acuity (pre-BCVA), comorbidity of dementia, and the use of sedative or hypnotic drugs.

Results: POD developed in 19 out of 4658 patients (0.41%). POD was more prevalent in older patients and those with dementia (P < 0.001 and P < 0.001, respectively). However, sex, longer operation time, the use of sedative or hypnotic drugs were not associated with POD. The low pre-BCVA in either operated eye or fellow eye was more likely observed in patients with POD (P = 0.003 and P = 0.001, respectively). The multivariate logistic regression analysis revealed that age (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.00-1.12; P = 0.04), dementia (OR, 34.95; 95% CI, 12.32-99.15; P < 0.001), pre-BCVA in the operated eye (OR, 2.00; 95% CI, 1.13-3.53; P = 0.02) and pre-BCVA in the fellow eye (OR, 1.83; 95% CI, 1.16-2.89; P = 0.01) were significantly associated with developing POD.

Conclusions: POD developed following ophthalmic surgery under local anesthesia. Identified risk factors included older age, comorbid dementia and low pre-BCVA.

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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
审稿时长
6-12 weeks
期刊介绍: The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.
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