ArticleWorld journal of surgery2018
Risk Factors of Postoperative Delirium in the Intensive Care Unit After Liver Transplantation.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Review
- Meta-analysis of the incidence and risk factors of postoperative delirium in organ transplant patients.World journal of psychiatry · 2025Article
- Longitudinal Evaluation of Delirium in Liver Transplant Recipients.Delirium (Bielefeld, Germany) · 2025Article
- [Risk Factors and Prognosis of Delirium After Liver Transplantation].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Article
- Comorbid psychiatric disorders and long-term survival after liver transplantation in transplant facilities with a psychiatric consultation-liaison team: a multicenter retrospective study.BMC gastroenterology · 2023Article
- Using Machine Learning Algorithms to Predict High-Risk Factors for Postoperative Delirium in Elderly Patients.Clinical interventions in aging · 2023Article
- The influence of delirium on mortality and length of ICU stay and analysis of risk factors for delirium after liver transplantation.Frontiers in neurology · 2023Article
- Early prediction of acute kidney injury after liver transplantation by scoring system and decision tree.Renal failure · 2021Article
- Complementary Roles of Cadaveric and Living Donor Liver Transplantation in Acute Liver Failure.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Annual Meeting of the Canadian Association for the Study of the Liver (CASL), the Canadian Network on Hepatitis C (CANHEPC) and the Canadian Association of Hepatology Nurses (CAHN) 2021 Abstracts.Canadian liver journal · 2021Article
- Processed Multiparameter Electroencephalogram-Guided General Anesthesia Management Can Reduce Postoperative Delirium Following Carotid Endarterectomy: A Randomized Clinical Trial.Frontiers in neurology · 2021Article
- Liver Transplant Patients with High Preoperative Serum Bilirubin Levels Are at Increased Risk of Postoperative Delirium: A Retrospective Study.Journal of clinical medicine · 2020Article
- Determining Risk Factors of Postoperative Delirium in Patients Undergoing Liver Transplantation [Letter].Neuropsychiatric disease and treatment · 2020Article
- Elevated Level of Serum C-reactive Protein Predicts Postoperative Delirium among Patients Receiving Cervical or Lumbar Surgery.BioMed research international · 2020Article
- Analysis of Risk Factors for Postoperative Delirium After Liver Transplantation.Neuropsychiatric disease and treatment · 2020Article
- Postoperative Delirium Is Associated with Long-term Decline in Activities of Daily Living.Anesthesiology · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative delirium after liver transplantation is relatively common, especially due to preexisting conditions such as hepatic encephalopathy. Most studies of delirium after liver transplantation were based on ICU practices using deep hypnosedation. Therefore, risk factors and consequences of postoperative delirium after liver transplantation were evaluated in the light sedation era.
methodsA total of 253 liver transplantation patients were evaluated for postoperative delirium. Clinical outcomes including mortality were compared between patients who suffered delirium and those who did not. Risk factors for postoperative delirium were analyzed with subgroup analysis depending on MELD scores and type of liver transplantation.
resultsPost-liver transplant delirium developed in 17% of the patients, 88% of which occurred within the first postoperative day. Alcoholic liver cirrhosis, class C Child-Pugh score, higher MELD scores, higher proportion of deceased donor liver transplantation, and reintubation were more frequent in patients who developed delirium, but there was no difference in mortality. Higher preoperative MELD group (15-24 vs. <15; OR 4.10, 95% Cl [1.67-10.09], P = 0.002, ≥25 vs. <15; OR 5.59, 95% CI [2.06-15.19], P < 0.01), higher APACHE II scores (OR 5.59, 95% CI [2.06-15.19], P < 0.01), and reintubation (OR 6.46, 95% CI [2.10-19.88], P < 0.01) were identified as significant risk factors for postoperative delirium.
conclusionPostoperative delirium after liver transplantation was associated with worse clinical outcomes. MELD scores greater than 15 were predictive of postoperative delirium in both living and deceased donor liver transplantation.
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