Key result
Post-operative delirium affects ~13% of TEVAR patients and is linked to increased mortality.
Why the study?
The incidence, predictors, and impact of postoperative delirium in complicated type B aortic dissection patients undergoing TEVAR were not well characterized.
What are the incidence, predictors, and outcomes of post-operative delirium in patients with complicated type B aortic dissection undergoing TEVAR?
Cross-Sectional
No
What are the incidence, predictors, and outcomes of post-operative delirium in patients with complicated type B aortic dissection undergoing TEVAR?
Post-operative delirium affects approximately 13% of patients undergoing TEVAR for complicated type B aortic dissection and is associated with worse clinical and economic outcomes.
May warrant post-TEVAR delirium vigilance in type B dissection; leaves open whether prevention alters mortality.
PURPOSE: The present study aimed to investigate the incidence and predictors of post-operative delirium (POD) in patients with complicated type B aortic dissection (TBAD) undergoing TEVAR with/without concomitant procedures and to assess the association of POD with early and follow-up outcomes. METHODS: A retrospective single-center cross-sectional analysis was conducted using a prospectively maintained database from 2010 to 2017. Outcomes were postoperative clinical outcomes, early and follow-up survival. RESULTS: = 0.005) after adjusting potential confounders. CONCLUSION: POD after TEVAR has an incidence of around 13% and could profoundly increase the in-hospital LOS, hospital costs, as well as the early and follow-up mortality. A series of risk factors, including hybrid procedure, the use of benzodiazepine or quinolone, creatinine >2 mg/dL and preoperative blood transfusion, were identified as independent risk factors for POD. Effective risk-stratification and patient-tailored management strategy should be developed to reduce the incidence of POD.
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Liu et al. (2021) conducted a cross-sectional in Complicated type B aortic dissection (TBAD). Post-operative delirium (POD) was evaluated on Incidence of post-operative delirium (POD) (p=0.005). Post-operative delirium occurred in approximately 13% of patients after TEVAR for complicated type B aortic dissection and was associated with increased early and follow-up mortality (P=0.005).
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