The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Delirium: An Independent Predictor of Functional Decline After Cardiac Surgery
Open accessAbstract
OBJECTIVES: To determine whether patients who developed delirium after cardiac surgery were at risk of functional decline. DESIGN: Prospective cohort study. SETTING: Two academic hospitals and a Veterans Affairs Medical Center. PARTICIPANTS: One hundred ninety patients aged 60 and older undergoing elective or urgent cardiac surgery. MEASUREMENTS: Delirium was assessed daily and was diagnosed according to the Confusion Assessment Method. Before surgery and 1 and 12 months postoperatively, patients were assessed for function using the instrumental activities of daily living (IADL) scale. Functional decline was defined as a decrease in ability to perform one IADL at follow‐up. RESULTS: Delirium occurred in 43.1% (n=82) of the patients (mean age 73.7±6.7). Functional decline occurred in 36.3% (n=65/179) at 1 month and in 14.6% (n=26/178) at 12 months. Delirium was associated with greater risk of functional decline at 1 month (relative risk (RR)=1.9, 95% confidence interval (CI)=1.3–2.8) and tended toward greater risk at 12 months (RR=1.9, 95% CI=0.9–3.8). After adjustment for age, cognition, comorbidity, and baseline function, delirium remained significantly associated with functional decline at 1 month (adjusted RR=1.8, 95% CI=1.2–2.6) but not at 12 months (adjusted RR=1.5, 95% CI=0.6–3.3). CONCLUSION: Delirium was independently associated with functional decline at 1 month and had a trend toward association at 12 months. These findings provide justification for intervention trials to evaluate whether delirium prevention or treatment strategies might improve postoperative functional recovery.
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Clarifying Confusion: The Confusion Assessment Method: A New Method for Detection of Delirium
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Postoperative Delirium: Acute Change with Long-Term Implications
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Metadata
- Authors
- Rudolph, J. L., Inouye, S. K., Jones, R. N., Yang, F. M., Fong, T. G., Levkoff, S. E., & Marcantonio, E. R.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2010-04
- Volume
- 58
- Issue
- 4
- Pages
- 643-649
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W1959319786
- Cited by
- 374
- References
- 37
- FWCI
- 14.43
- Type
- journal article
- Language
- en
- Open access
- green
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- Rudolph, J. L., Inouye, S. K., Jones, R. N., Yang, F. M., Fong, T. G., Levkoff, S. E., & Marcantonio, E. R. (2010). Delirium: An Independent Predictor of Functional Decline After Cardiac Surgery. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.2010.02762.x
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