TY - T1的预测心脏手术后谵妄患者的睡眠障碍性呼吸JF -欧洲呼吸杂志》乔和J - 10.1183/13993003.00354 -2019欧元六世- 54 - 2 SP - 1900354 AU Tafelmeier玛丽亚盟——克纳普,马文盟——Lebek西蒙盟——Floerchinger Bernhard盟——Camboni Daniele盟——Creutzenberg马库斯AU -维西格丽德盟,泽曼Florian盟,施密德Christof盟——麦尔,Lars齐格弗里德盟——瓦格纳,Stefan盟——医生,迈克尔Y1 - 2019/08/01 UR - //www.qdcxjkg.com/content/54/2/1900354.abstract N2 -介绍谵妄心脏手术后最常见的并发症之一。尽管各种风险因素已确定,睡眠障碍性呼吸之间的关系(SDB)和精神错乱到目前为止几乎没有被检查。在这里,我们的目标是确定术后谵妄的发生率和识别患者谵妄的危险因素,没有深发展。正在进行的前瞻性观察研究的方法这subanalysis CONSIDER-AF (ClinicalTrials.gov标识符NCT02877745)检查谵妄的危险因素在141年接受心脏手术的患者。深发展的存在和类型进行评估与便携式深发展监控手术前一晚。谵妄是前瞻性评估与验证混乱重症监护室评估方法在拔管和最多3天。精神错乱的患者中,23%被诊断结果:16%的患者没有深发展,13%与阻塞性睡眠呼吸暂停和49%中央睡眠呼吸暂停。多变量逻辑回归分析表明,谵妄是独立与年龄≥70岁(或5.63,95%可信区间1.79 - -17.68;p = 0.003),中央睡眠呼吸暂停(或4.99,95%可信区间1.41 - -17.69;p = 0.013)和心脏衰竭(或3.3,95%可信区间1.06 - -10.35;p = 0.039)。 Length of hospital stay and time spent in the intensive care unit/intermediate care setting were significantly longer for patients with delirium.Conclusions Among the established risk factors for delirium, central sleep apnoea was independently associated with delirium. Our findings contribute to identifying patients at high risk of developing post-operative delirium who may benefit from intensified delirium prevention strategies.This prospective observational study shows that, among established risk factors, central sleep apnoea is independently associated with post-operative delirium in patients undergoing elective cardiac surgery http://bit.ly/2LPsrSp ER -