Key result
Moderate to severe postoperative pain significantly increased the risk of postoperative delirium (OR 5.856), along with younger age, male gender, more daily invasive catheters, and higher parental anxiety.
Why the study?
To investigate the risk factors for postoperative delirium in children with congenital heart disease.
Case-Control (n=216)
No
Odds Ratio: 5.856 (95% CI 2.62–13.089)
p-value: p=<0.001
Younger age, male gender, higher number of invasive catheters, higher postoperative pain, and higher preoperative parental anxiety are independent risk factors for postoperative delirium in children with congenital heart disease.
May warrant targeted POD monitoring in younger males after congenital heart repair; hypothesis-generating and requires prospective validation.
OBJECTIVES: To study the risk factors for postoperative delirium (POD) in children with congenital heart disease. METHODS: =102). A multivariate unconditional logistic regression analysis was used to investigate the risk factors for POD in children with congenital heart disease. RESULTS: =0.010) were independent risk factors for POD in children with congenital heart disease. CONCLUSIONS: The risk of POD increases in children with congenital heart disease who are younger, male, have higher number of invasive catheters per day, higher degree of postoperative pain, or higher preoperative parental anxiety level.
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Lyu et al. (2022) conducted a case-control in Congenital heart disease (n=216). Moderate to severe postoperative pain vs. No or mild postoperative pain was evaluated on Postoperative delirium (OR 5.856, 95% CI 2.620-13.089, p=<0.001). Moderate to severe postoperative pain significantly increased the risk of postoperative delirium (OR 5.856), along with younger age, male gender, more daily invasive catheters, and higher parental anxiety.
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