Incidence and risk factors of postoperative delirium following hepatic resection: a retrospective national inpatient sample database study
- Resource Type
- article
- Authors
- Rui Liu; Ningyuan Liu; Shanlian Suo; Qinfeng Yang; Zhen Deng; Wei Fu; Min Wang
- Source
- BMC Surgery, Vol 24, Iss 1, Pp 1-12 (2024)
- Subject
- Hepatic resection
Postoperative delirium
Complications
Comorbidities
Surgery
RD1-811
- Language
- English
- ISSN
- 1471-2482
Abstract Background Postoperative delirium (POD) is a common complication after major surgery and can cause a variety of adverse effects. However, no large-scale national database was used to assess the occurrence and factors associated with postoperative delirium (POD) following hepatic resection. Methods Patients who underwent hepatic resection from 2015 to 2019 were screened using the International Classification of Diseases (ICD) 10th edition clinical modification code from the National Inpatient Sample (NIS) Database. Peri-operative factors associated with delirium were screened and underwent statistical analysis to identify independent predictors for delirium following hepatic resection. Results A total of 80,070 patients underwent hepatic resection over a five-year period from 2015 to 2019. The overall occurrence of POD after hepatic resection was 1.46% (1039 cases), with a slight upward trend every year. The incidence of elective admission was 6.66% lower (88.60% vs. 81.94%) than that of patients without POD after hepatic resection and 2.34% (45.53% vs. 43.19%) higher than that of patients without POD in teaching hospitals (P