Delirium after lung transplantation: Association with recipient characteristics, hospital resource utilization, and mortality

• DOI: 10.1111/ctr.12966
• Publication Date: 2017-03-17T20:32:40Z
• Authors: Yelizaveta Sher; Joshua Mooney; Gundeep Dhillon; Roy Lee; José R. Maldonado
• Keywords: Organic mental disorders

Background Delirium is associated with increased morbidity and mortality. The factors post-lung transplant delirium its impact on outcomes are under characterized. Methods medical records of 163 consecutive adult lung recipients were reviewed for within 5 days (early-onset) 30 hospital (ever-onset) post-transplantation. A multivariable logistic regression model assessed delirium. Multivariable negative binomial Cox proportional hazards models the association ventilator duration, intensive care unit (ICU) length stay (LOS), LOS, one-year Results Thirty-six percent patients developed early-onset, 44% ever-onset Obesity (OR 6.35, 95% CI 1.61-24.98) bolused benzodiazepines first postoperative day 2.28, 1.07-4.89) early-onset Early-onset was longer adjusted mechanical ventilation duration (P=.001), ICU LOS (P<.001), (P=.005). Ever-onset (P<.001) (P<.001). After adjusting clinical variables, not significantly mortality (early-onset HR 1.65, 0.67-4.03; 1.70, 0.63-4.55). Conclusions common after surgery resources.