Risk Factors for Delirium After Spine Surgery in Extremely Elderly Patients Aged 80 Years or Older and Review of the Literature: Japan Association of Spine Surgeons with Ambition Multicenter Study

Kobayashi Kazuyoshi, Imagama Shiro, Ando Kei, Ishiguro Naoki, Yamashita Masaomi, Eguchi Yawara, Matsumoto Morio, Ishii Ken, Hikata Tomohiro, Seki Shoji, Terai Hidetomi, Suzuki Akinobu, Tamai Koji, Aramomi Masaaki, Ishikawa Tetsuhiro, Kimura Atsushi, Inoue Hirokazu, Inoue Gen, Miyagi Masayuki, Saito Wataru, Yamada Kei, Hongo Michio, Matsuoka Yuji, Suzuki Hidekazu, Nakano Atsushi, Watanabe Kazuyuki, Chikuda Hirotaka, Ohya Junichi, Aoki Yasuchika, Shimizu Masayuki, Futatsugi Toshimasa, Mukaiyama Keijiro, Hasegawa Masaichi, Kiyasu Katsuhito, Iizuka Haku, Iizuka Yoichi, Kobayashi Ryoichi, Nishida Kotaro, Kakutani Kenichiro, Nakajima Hideaki, Murakami Hideki, Demura Satoru, Kato Satoshi, Yoshioka Katsuhito, Namikawa Takashi, Watanabe Kei, Nakanishi Kazuyoshi, Nakagawa Yukihiro, Yoshimoto Mitsunori, Fujiwara Hiroyasu, Nishida Norihiro, Imajo Yasuaki, YAMAZAKI Masashi, Sakane Masataka, ABE Tetsuya, Fujii Kengo, Kaito Takashi, Furuya Takeo, Orita Sumihisa, Ohtori Seiji

doi:10.1177/2192568217700115

Study Design: Retrospective database analysis.Objective: Spine surgeries in elderly patients have increased in recent years due to aging of society and recent advances in surgical techniques, and postoperative complications have become more of a concern. Postoperative delirium is a common complication in elderly patients that impairs recovery and increases morbidity and mortality. The objective of the study was to analyze postoperative delirium associated with spine surgery in patients aged 80 years or older with cervical, thoracic, and lumbar lesions.Methods: A retrospective multicenter study was performed in 262 patients 80 years of age or older who underwent spine surgeries at 35 facilities. Postoperative complications, incidence of postoperative delirium, and hazard ratios of patient-specific and surgical risk factors were examined. Results: Postoperative complications occurred in 59 of the 262 spine surgeries (23%). Postoperative delirium was the most frequent complication, occurring in 15 of 262 patients (5.7%), and was significantly associated with hypertension, cerebrovascular disease, cervical lesion surgery, and greater estimated blood loss (P < .05). In multivariate logistic regression using perioperative factors, cervical lesion surgery (odds ratio = 4.27, P < .05) and estimated blood loss ≥300 mL (odds ratio = 4.52, P < .05) were significantly associated with postoperative delirium.

Risk Factors for Delirium After Spine Surgery in Extremely Elderly Patients Aged 80 Years or Older and Review of the Literature: Japan Association of Spine Surgeons with Ambition Multicenter Study

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Risk Factors for Delirium After Spine Surgery in Extremely Elderly Patients Aged 80 Years or Older and Review of the Literature: Japan Association of Spine Surgeons with Ambition Multicenter Study

この論文をさがす

説明

収録刊行物

被引用文献 (6)*注記

参考文献 (55)*注記

関連プロジェクト

キーワード

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書き出し

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