An observational study in Delirium, AAA and Intensive Care Unit Delirium, sponsored by Amphia Hospital. Completed at 1 site in Netherlands. Per ClinicalTrials.gov, last updated 2019-09-06.
Sponsored by Amphia Hospital · Observational
The incidence of delirium following open abdominal aortic aneurysm (AAA) surgery is significant, with incidence rates ranging from 12 to 33%. The occurrence of delirium on the surgical ward after intensive care unit (ICU) dismissal in AAA patients remains unclear. Differences in outcomes between a delirium on the ICU and a delirium on the surgical ward have not been previously investigated.
Delirium is a frequent complication in patients who underwent open AAA surgery. This study demonstrated that patients on the surgical ward remain at risk for developing a delirium after ICU dismissal. Physicians should therefore maintain a high level of awareness for delirium in AAA patients who return to the surgical ward after ICU dismissal. This simultaneously emphasises the necessity of delirium preventive measures and early recognition on the surgical ward in order to improve clinical outcomes.
The incidence of delirium following open abdominal aortic aneurysm (AAA) surgery is significant, with incidence rates ranging from 12 to 33%. The occurrence of delirium on the surgical ward after intensive care unit (ICU) dismissal in AAA patients remains unclear. Differences in outcomes between a delirium on the ICU and a delirium on the surgical ward have not been previously investigated.
An observational cohort study was conducted that included all patients treated electively for an abdominal aortic aneurysm (AAA) by open repair and patients undergoing emergency treatment for a ruptured AAA between 2013 and 2018. The diagnosis of delirium was verified by a psychiatrist or geriatrician using the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria. Cox proportional hazards regression analysis was used to analyse 6- and 12-months survival rate.
A total of 135 patients were included in the study. Of these, 72 were treated for a ruptured abdominal aortic aneurysm and 63 were treated electively with open aortic repair.
Exclusion Criteria:
An retrospective cohort study was conducted that included all patients treated electively for an abdominal aortic aneurysm (AAA) by open repair and patients undergoing emergency treatment for a ruptured AAA between 2013 and 2018.
Other: Surgery
All patients treated electively for an abdominal aortic aneurysm (AAA) by open repair and patients undergoing emergency treatment for a ruptured AAA between 2013 and 2018.
Also known as: Open abdominal aortic repair, Endovascular aortic repair
the incidence of delirium
The incidence of delirium on the ICU and on the ward
Time frame: between january 2013 and december 2018
mortality
mortality divided by ICU delirium and ward delirium
Time frame: 6 months and 12 months
Length of hospital stay
Length of hospital stay in days
Time frame: Data on re-interventions, readmissions and survival were collected until February 2019.
Length of ICU stay
Length of ICU stay in days
Time frame: Data on re-interventions, readmissions and survival were collected until February 2019.
Reoperations
Reoperations within 30 days after surgery
Time frame: Data on re-interventions, readmissions and survival were collected until February 2019.
Complications
Complications within 30 days after surgery
Time frame: Data on re-interventions, readmissions and survival were collected until February 2019.
Discharge to a nursing home
Discharge to a nursing home
Time frame: Data on re-interventions, readmissions and survival were collected until February 2019.
Plan to share: Undecided
No publications or documents are linked to this record.
This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Amphia Hospital