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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.

Abstract Retrospective database analysis.
PMID
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Authors

Mayor MeshTerms
Keywords

complication

delirium

extremely elderly

risk factors

spine surgery

Journal Title global spine journal
Publication Year Start




PMID- 28894686
OWN - NLM
STAT- PubMed-not-MEDLINE
DA  - 20170912
LR  - 20170914
IS  - 2192-5682 (Print)
IS  - 2192-5682 (Linking)
VI  - 7
IP  - 6
DP  - 2017 Sep
TI  - 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.
PG  - 560-566
LID - 10.1177/2192568217700115 [doi]
AB  - 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. CONCLUSIONS: Cervical lesion surgery and greater blood
      loss were perioperative risk factors for delirium in extremely elderly patients
      after spine surgery. Hypertension and cerebrovascular disease were significant
      risk factors for postoperative delirium, and careful management is required for
      patients with such risk factors.
FAU - Kobayashi, Kazuyoshi
AU  - Kobayashi K
AD  - Nagoya University, Nagoya, Aichi, Japan.
FAU - Imagama, Shiro
AU  - Imagama S
AD  - Nagoya University, Nagoya, Aichi, Japan.
FAU - Ando, Kei
AU  - Ando K
AD  - Nagoya University, Nagoya, Aichi, Japan.
FAU - Ishiguro, Naoki
AU  - Ishiguro N
AD  - Nagoya University, Nagoya, Aichi, Japan.
FAU - Yamashita, Masaomi
AU  - Yamashita M
AD  - Funabashi Central Hospital, Funabashi, Chiba, Japan.
FAU - Eguchi, Yawara
AU  - Eguchi Y
AD  - Shimoshizu National Hospital, Yotsukaido-shi, Chiba, Japan.
FAU - Matsumoto, Morio
AU  - Matsumoto M
AD  - Keio University, Shinjuku-ku, Tokyo, Japan.
FAU - Ishii, Ken
AU  - Ishii K
AD  - Keio University, Shinjuku-ku, Tokyo, Japan.
FAU - Hikata, Tomohiro
AU  - Hikata T
AD  - Keio University, Shinjuku-ku, Tokyo, Japan.
FAU - Seki, Shoji
AU  - Seki S
AD  - University of Toyama, Toyama-shi, Toyama, Japan.
FAU - Terai, Hidetomi
AU  - Terai H
AD  - Osaka City University, Abeno-ku, Osaka, Japan.
FAU - Suzuki, Akinobu
AU  - Suzuki A
AD  - Osaka City University, Abeno-ku, Osaka, Japan.
FAU - Tamai, Koji
AU  - Tamai K
AD  - Osaka City University, Abeno-ku, Osaka, Japan.
FAU - Aramomi, Masaaki
AU  - Aramomi M
AD  - Sanmu Medical Center, Sanmu-shi, Chiba, Japan.
FAU - Ishikawa, Tetsuhiro
AU  - Ishikawa T
AD  - Sanmu Medical Center, Sanmu-shi, Chiba, Japan.
FAU - Kimura, Atsushi
AU  - Kimura A
AD  - Jichi Medical University, Shimotsuke-shi, Tochigi, Japan.
FAU - Inoue, Hirokazu
AU  - Inoue H
AD  - Jichi Medical University, Shimotsuke-shi, Tochigi, Japan.
FAU - Inoue, Gen
AU  - Inoue G
AD  - Kitasato University, Sagamihara-shi, Kanagawa, Japan.
FAU - Miyagi, Masayuki
AU  - Miyagi M
AD  - Kitasato University, Sagamihara-shi, Kanagawa, Japan.
FAU - Saito, Wataru
AU  - Saito W
AD  - Kitasato University, Sagamihara-shi, Kanagawa, Japan.
FAU - Yamada, Kei
AU  - Yamada K
AD  - Kurume University, Kurume-shi, Fukuoka, Japan.
FAU - Hongo, Michio
AU  - Hongo M
AD  - Akita University, Akita-shi, Akita, Japan.
FAU - Matsuoka, Yuji
AU  - Matsuoka Y
AD  - Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
FAU - Suzuki, Hidekazu
AU  - Suzuki H
AD  - Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
FAU - Nakano, Atsushi
AU  - Nakano A
AD  - Osaka Medical College, Takatsuki-shi, Osaka, Japan.
FAU - Watanabe, Kazuyuki
AU  - Watanabe K
AD  - Fukushima Medical University, Fukushima-shi, Fukushima, Japan.
FAU - Chikuda, Hirotaka
AU  - Chikuda H
AD  - The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
FAU - Ohya, Junichi
AU  - Ohya J
AD  - The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
FAU - Aoki, Yasuchika
AU  - Aoki Y
AD  - Eastern Chiba Medical Center, Togane, Japan.
FAU - Shimizu, Masayuki
AU  - Shimizu M
AD  - Shinshu University, Matsumoto-shi, Nagano, Japan.
FAU - Futatsugi, Toshimasa
AU  - Futatsugi T
AD  - Shinshu University, Matsumoto-shi, Nagano, Japan.
FAU - Mukaiyama, Keijiro
AU  - Mukaiyama K
AD  - Shinshu University, Matsumoto-shi, Nagano, Japan.
FAU - Hasegawa, Masaichi
AU  - Hasegawa M
AD  - Kyorin University, Mitaka-shi, Tokyo, Japan.
FAU - Kiyasu, Katsuhito
AU  - Kiyasu K
AD  - Kochi University, Nankoku-shi, Kochi, Japan.
FAU - Iizuka, Haku
AU  - Iizuka H
AD  - Gunma University, Maebashi-shi, Gunma, Japan.
FAU - Iizuka, Yoichi
AU  - Iizuka Y
AD  - Gunma University, Maebashi-shi, Gunma, Japan.
FAU - Kobayashi, Ryoichi
AU  - Kobayashi R
AD  - Gunma University, Maebashi-shi, Gunma, Japan.
FAU - Nishida, Kotaro
AU  - Nishida K
AD  - Kobe University, Kobe-shi, Hyogo, Japan.
FAU - Kakutani, Kenichiro
AU  - Kakutani K
AD  - Kobe University, Kobe-shi, Hyogo, Japan.
FAU - Nakajima, Hideaki
AU  - Nakajima H
AD  - University of Fukui, Yoshida-gun, Fukui, Japan.
FAU - Murakami, Hideki
AU  - Murakami H
AD  - Kanazawa University, Kanazawa, Ishikawa, Japan.
FAU - Demura, Satoru
AU  - Demura S
AD  - Kanazawa University, Kanazawa, Ishikawa, Japan.
FAU - Kato, Satoshi
AU  - Kato S
AD  - Kanazawa University, Kanazawa, Ishikawa, Japan.
FAU - Yoshioka, Katsuhito
AU  - Yoshioka K
AD  - Kanazawa University, Kanazawa, Ishikawa, Japan.
FAU - Namikawa, Takashi
AU  - Namikawa T
AD  - Osaka City General Hospital, Miyakojima-ku, Osaka, Japan.
FAU - Watanabe, Kei
AU  - Watanabe K
AD  - Niigata University, Niigata-shi, Niigata, Japan.
AD  - Sado General Hospital, Sado-shi, Niigata, Japan.
FAU - Nakanishi, Kazuyoshi
AU  - Nakanishi K
AD  - Hiroshima University, Hiroshima-shi, Hiroshima, Japan.
FAU - Nakagawa, Yukihiro
AU  - Nakagawa Y
AD  - Wakayama Medical University, Wakayama-shi, Wakayama, Japan.
FAU - Yoshimoto, Mitsunori
AU  - Yoshimoto M
AD  - Sapporo Medical University, Sapporo-shi, Hokkaido, Japan.
FAU - Fujiwara, Hiroyasu
AU  - Fujiwara H
AD  - Osaka-Minami Medical Center, Kawachinagano-shi, Osaka, Japan.
FAU - Nishida, Norihiro
AU  - Nishida N
AD  - Yamaguchi University, Ube, Yamaguchi, Japan.
FAU - Imajo, Yasuaki
AU  - Imajo Y
AD  - Yamaguchi University, Ube, Yamaguchi, Japan.
FAU - Yamazaki, Masashi
AU  - Yamazaki M
AD  - University of Tsukuba, Tsukuba, Ibaraki, Japan.
FAU - Sakane, Masataka
AU  - Sakane M
AD  - University of Tsukuba, Tsukuba, Ibaraki, Japan.
FAU - Abe, Tetsuya
AU  - Abe T
AD  - University of Tsukuba, Tsukuba, Ibaraki, Japan.
FAU - Fujii, Kengo
AU  - Fujii K
AD  - University of Tsukuba, Tsukuba, Ibaraki, Japan.
FAU - Kaito, Takashi
AU  - Kaito T
AD  - Osaka University, Suita, Osaka, Japan.
FAU - Furuya, Takeo
AU  - Furuya T
AD  - Chiba University, Chiba-shi, Chiba, Japan.
FAU - Orita, Sumihisa
AU  - Orita S
AD  - Chiba University, Chiba-shi, Chiba, Japan.
FAU - Ohtori, Seiji
AU  - Ohtori S
AD  - Chiba University, Chiba-shi, Chiba, Japan.
LA  - eng
PT  - Journal Article
DEP - 20170411
PL  - England
TA  - Global Spine J
JT  - Global spine journal
JID - 101596156
PMC - PMC5582715
OTO - NOTNLM
OT  - complication
OT  - delirium
OT  - extremely elderly
OT  - risk factors
OT  - spine surgery
COI - Declaration of Conflicting Interests: The author(s) declared no potential
      conflicts of interest with respect to the research, authorship, and/or
      publication of this article.
EDAT- 2017/09/13 06:00
MHDA- 2017/09/13 06:01
CRDT- 2017/09/13 06:00
AID - 10.1177/2192568217700115 [doi]
AID - 10.1177_2192568217700115 [pii]
PST - ppublish
SO  - Global Spine J. 2017 Sep;7(6):560-566. doi: 10.1177/2192568217700115. Epub 2017
      Apr 11.