Delirium affects length of hospital stay after lung transplantation
Open accessAbstract
Background Delirium is relatively common following lung transplantation, although its prevalence and prognostic significance have not been systematically studied. The purpose of the present study was to examine pre-transplant predictors of delirium and the short-term impact of delirium on clinical outcomes among lung transplant recipients. Methods Participants underwent pre-transplant cognitive testing using the Repeatable Battery for the Assessment of Neuropsychological Status and the Trail Making Test. Following transplant, delirium was assessed using the Confusion Assessment Method until discharge. Results Sixty-three patients were transplanted between March and November, 2013, of which 23 (37%) developed delirium. Among transplanted patients, 48 patients completed pre-transplant cognitive testing. Better pre-transplant cognitive function was associated with lower risk of delirium (OR = 0.69 [95%CI 0.48, 0.99], P = .043); demographic and clinical features including native disease (P =.236), the Charlson comorbidity index (P = .581), and the lung allocation score (P = .871) were unrelated to risk of delirium, although there was a trend for women to experience delirium less frequently (P =.071). The presence (P = .006) and duration (P = .027) of delirium were both associated with longer hospital stays. Conclusion Delirium occurs in more than one third of patients following lung transplantation. Delirium was associated with poorer pretransplant cognitive functioning and longer hospital stays, after accounting for other medical and demographic factors.
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Dementia has been associated with adverse postoperative outcomes.
“Dementia has been associated with adverse postoperative outcomes.(90–93)”
From Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation. (2021) · cites this paper as [93]
The Introduction and Discussion report that poorer preoperative cognitive function was associated with postoperative delirium in lung transplant recipients, an adverse outcome. The paper does not establish that patients with dementia specifically have adverse postoperative outcomes; dementia appears only in a reference title. Page numbers are unavailable in our copy. (LLM, conf=0.82)
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- Authors
- Smith, P. J., Rivelli, S. K., Waters, A. M., Hoyle, A., Durheim, M. T., Reynolds, J. M., Flowers, M., Davis, R. D., Palmer, S. M., Mathew, J. P., & Blumenthal, J. A.
- Affiliations
- Duke Medical Center (US)
- Corresponding author
- Smith, P.J.
- Venue
- Journal of Critical Care
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 30
- Issue
- 1
- Pages
- 126-129
- ISSN
- 0883-9441 (ISSN-L)
- PMC
- PMC4301421
- OpenAlex
- W2086025162
- Semantic Scholar
- e7e22add09c472f76837e2ce0290d19f79a6c0de
- Cited by
- 49
- References
- 38
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 10 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 10 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 1
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Critical Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL065503, HL 065503)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- delirium, lung transplantation, length of hospital stay, neuropsychological assessment, Trail Making Test, Confusion Assessment Method, delirium risk factors, postoperative outcomes
- MeSH terms
- Adult, Aged, Cognition, Confusion, Delirium, Female, Humans, Length of Stay, Male, Middle Aged, Neuropsychological Tests, Prognosis, Prospective Studies, Trail Making Test, Prevalence, Odds Ratio, Lung Transplantation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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