Predictors of Postoperative Delirium in Elder Patients After Spine Surgery: Regional Cerebral Oxygen Saturation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Delirium in Elder Patients After Spine Surgery
- Sponsor
- Yonsei University
- Enrollment
- 109
- Locations
- 1
- Primary Endpoint
- the predictive power of periopertiver rSO2 regarding postoperative delirium
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Postoperative delirium is an important problem in patients undergoing major surgery. The incidence of delirium was 12.5% in the patients over 70 years old undergoing spine surgery. A study shows that a low preoperative regional cerebral oxygen saturation (rSO2) is associated with postoperative delirium after on-pump cardiac surgery. This same perturbation likely also increases the risk for postoperative delirium after spine surgery, although there are little data that have evaluated this hypothesis. Therefore, this observational study was designed to explore the relationship between perioperative rSO2 and the delirium in elderly patients undergoing spine surgery.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients in the study will be 60 or older undergoing elective major spine surgery (expected operative time is more than 2 hrs).
- •Patients who can do the mini-mental state examination (MMSE), Confusion Assessment Method for the ICU (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC).
- •Patients who understand the nature of the study and are willing to sign the consent form
Exclusion Criteria
- •Emergency surgery
- •Patients diagnosed with neurocognitive disorders or psychiatric diseases, thus, cannot check MMSE or communicate with other people (e.g. Alzheimer's dementia, alcohol abuse)
- •Patients diagnosed with cerebrovascular disorders (e.g. stroke, atherosclerotic stenosis of carotid artery, TIA)
- •Patients who cannot be followed up until 2 days after surgery
Outcomes
Primary Outcomes
the predictive power of periopertiver rSO2 regarding postoperative delirium
Time Frame: up to 2days postoperative
The presence and severity of delirium were assessed with Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) once a day. (1 day preopertive, 2 days postoperative.) The investigators plan to evaluate whether periopertive rSO2 can predict postoperative delirium in elder patients after spine surgery and to assess the predictive power of periopertiver rSO2 regarding postoperative delirium. Perioperative rSO2 was observed during surgery (an expected average of 2\~3 hours).