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Cited by 67Intensive Care Unit Cognitive DisordersCardiac and Coronary Surgery TechniquesAlcoholism and Thiamine Deficiency

Postcardiotomy delirium: A critical review

Open access
Dubin, William R., Field, Howard L., Gastfriend, David R.·1979·The Journal of Thoracic and Cardiovascular Surgery
DOI 10.1016/s0022-5223(19)38266-2
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Abstract

The literature concerning postcardiotomy delirium contains confusing definitions and contradictory results. In a critical review of the subject, we conclude that cardiac status, the severity of physical illness, the complexity of the surgical procedure, and preoperative organic brain disease are the determining factors in postcardiotomy delirium. Preoperative anxiety, denial, and depression also have some correlation. Age, sex, time on bypass, and preoperative psychological profile seem to have no influence on outcome. No psychological etiology for delirium has been proven consistently. The therapeutic influence of preoperative interviews in preventing postoperative psychiatric complications remains equivocal as do theories implicating sensory deprivation in the intensive care unit. Long-term follow-up studies suggest that psychological problems impair functional recovery from heart surgery. The suggested treatment of patients with delirium includes chemotherapy, psychotherapy, and environmental support. Finally we suggest that investigation of biochemical abnormalities in delirium may prove to be a model for clarifying the role of neurotransmitters in functional psychiatric illnesses.

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  • The incidence of delirium recorded in our study was 28%, at the low level of the range cited in the literature (13% to 70%).

    “The 28% incidence of delirium we recorded at the low level of the wide range cited in the literature (13% to 70%) [8,11,38-40].”

    From Nicotine withdrawal and agitation in ventilated critically ill patients (2010) · cites this paper as [38]

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Research works printed but not linked: 1

  1. Zaks MS: Disturbances in psychologic functions and neu- ropsychiatric complications in heart surgery, An Ency- clopedia of the Cardiovascular System, Vol 3,• AL Aldo , ed., New York, 1959, McGraw-Hili Book Company, Inc., pp 162-171

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Related

Authors
Dubin, W. R., Field, H. L., & Gastfriend, D. R.
Affiliations
Thomas Jefferson University (US)
Corresponding author
Dubin, William R.
ORCID
Gastfriend, David R.
Venue
The Journal of Thoracic and Cardiovascular Surgery
Publisher
Elsevier BV
Published
1979-04
Volume
77
Issue
4
Pages
586-594
ISSN
0022-5223 (ISSN-L)
DOI
10.1016/s0022-5223(19)38266-2
OpenAlex
W2405243889
Cited by
67
References
77
Citations by year
2024: 1 · 2022: 1 · 2021: 1 · 2015: 2 · 2013: 1 · 2012: 1
FWCI
6.92
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Thoracic and Cardiovascular Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
  • Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
  • Health Sciences › Medicine › Neurology › Alcoholism and Thiamine Deficiency
Keywords
cardiac surgery, postoperative psychiatric complications, preoperative anxiety, preoperative depression, preoperative psychological assessment, sensory deprivation, intensive care unit, functional recovery, neurotransmitters, delirium management
MeSH terms
Adult, Age Factors, Mental Disorders, Delirium, Environment, Female, Follow-Up Studies, Heart Diseases, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Postoperative Complications, Time Factors

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