Development of a Nomogram Model to Predict the Risk of Postoperative Delirium in Cardiac Surgery Patients

Witlox J, Eurelings LSM, De Jonghe JFM, et al. Delirium in Elderly Patients and the Risk of Postdischarge Mortality, Institutionalization, and Dementia: A Meta-analysis. JAMA. 2010;304:443. https://doi.org/10.1001/jama.2010.1013.

Article  CAS  PubMed  Google Scholar 

Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. The Lancet. 2014;383:911–22. https://doi.org/10.1016/S0140-6736(13)60688-1.

Article  Google Scholar 

Vacas S, Canales C, Deiner SG, et al. Perioperative Brain Health in the Older Adult: A Patient Safety Imperative. Anesth Analg. 2022. https://doi.org/10.1213/ANE.0000000000006090.

Article  PubMed  PubMed Central  Google Scholar 

Vacas S, Cole DJ, Cannesson M. Cognitive Decline Associated With Anesthesia and Surgery in Older Patients. JAMA. 2021;326:863. https://doi.org/10.1001/jama.2021.4773.

Article  Google Scholar 

Raats JW, van Eijsden WA, Crolla RMPH, et al. Risk Factors and Outcomes for Postoperative Delirium after Major Surgery in Elderly Patients. PLoS ONE. 2015;10:e0136071. https://doi.org/10.1371/journal.pone.0136071.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Saczynski JS, Marcantonio ER, Quach L, et al. Cognitive Trajectories after Postoperative Delirium. N Engl J Med. 2012;367:30–9. https://doi.org/10.1056/NEJMoa1112923.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Jin Z, Hu J, Ma D. Postoperative delirium: perioperative assessment, risk reduction, and management. Br J Anaesth. 2020;125:492–504. https://doi.org/10.1016/j.bja.2020.06.063.

Article  PubMed  Google Scholar 

Janssen T, Alberts A, Hooft L, et al. Prevention of postoperative delirium in elderly patients planned for elective surgery: systematic review and meta-analysis. Clin Interv Aging. 2019;14:1095–117. https://doi.org/10.2147/cia.S201323.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Thedim M, Vacas S. Postoperative Delirium and the Older Adult: Untangling the Confusion. J Neurosurg Anesthesiol. 2024;36:184–9. https://doi.org/10.1097/ANA.0000000000000971.

Article  PubMed  Google Scholar 

Hu X, Liu H, Zhao X, et al. Automated machine learning-based model predicts postoperative delirium using readily extractable perioperative collected electronic data. CNS Neurosci Ther. 2022;28:608–18. https://doi.org/10.1111/cns.13758.

Article  PubMed  Google Scholar 

Devlin JW, Skrobik Y, Gélinas C, et al. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018;46:e825–73. https://doi.org/10.1097/CCM.0000000000003299.

Article  PubMed  Google Scholar 

Gosselt AN, Slooter AJ, Boere PR, et al. Risk factors for delirium after on-pump cardiac surgery: a systematic review. Crit Care. 2015;19:346. https://doi.org/10.1186/s13054-015-1060-0.

Article  PubMed  PubMed Central  Google Scholar 

Rudolph JL, Jones RN, Levkoff SE, et al. Derivation and Validation of a Preoperative Prediction Rule for Delirium After Cardiac Surgery. Circulation. 2009;119:229–36. https://doi.org/10.1161/CIRCULATIONAHA.108.795260.

Article  PubMed  Google Scholar 

Li Q, Li J, Chen J, et al. A machine learning-based prediction model for postoperative delirium in cardiac valve surgery using electronic health records. BMC Cardiovasc Disord. 2024;24:56. https://doi.org/10.1186/s12872-024-03723-3.

Article  PubMed  PubMed Central  Google Scholar 

Riley RD, Collins GS. Stability of clinical prediction models developed using statistical or machine learning methods. Biom J. 2023;65:2200302. https://doi.org/10.1002/bimj.202200302.

Article  PubMed  PubMed Central  Google Scholar 

De La Varga-Martínez O, Gómez-Pesquera E, Muñoz-Moreno MF, et al. Development and validation of a delirium risk prediction preoperative model for cardiac surgery patients (DELIPRECAS): An observational multicentre study. J Clin Anesth. 2021;69:110158. https://doi.org/10.1016/j.jclinane.2020.110158.

Article  PubMed  Google Scholar 

Fan Y, Yang T, Liu Y, et al. Nomogram for predicting the risk of postoperative delirium in elderly patients undergoing orthopedic surgery. Perioper Med. 2024;13:34. https://doi.org/10.1186/s13741-024-00393-9.

Article  Google Scholar 

Gao Y, Gan X. A novel nomogram for the prediction of subsyndromal delirium in patients in intensive care units: A prospective, nested case-controlled study. Int J Nurs Stud. 2024;155:104767. https://doi.org/10.1016/j.ijnurstu.2024.104767.

Article  PubMed  Google Scholar 

Lin N, Lv M, Li S, et al. A nomogram for predicting postoperative delirium in pediatric patients following cardiopulmonary bypass: A prospective observational study. Intensive Crit Care Nurs. 2024;83:103717. https://doi.org/10.1016/j.iccn.2024.103717.

Article  PubMed  Google Scholar 

Luo Y-G, Wu X-D, Song Y-X, et al. Development and validation of a nomogram to predict postoperative delirium in older patients after major abdominal surgery: a retrospective case-control study. Perioper Med. 2024;13:41. https://doi.org/10.1186/s13741-024-00399-3.

Article  Google Scholar 

Mao D, Fu L, Zhang W. Construction and validation of an early prediction model of delirium in children after congenital heart surgery. Transl Pediatr. 2022;11:954–64. https://doi.org/10.21037/tp-22-187.

Article  PubMed  PubMed Central  Google Scholar 

Schoen J, Meyerrose J, Paarmann H, et al. Preoperative regional cerebral oxygen saturation is a predictor of postoperative delirium in on-pump cardiac surgery patients: a prospective observational trial. Crit Care. 2011;15:R218. https://doi.org/10.1186/cc10454.

Article  PubMed  PubMed Central  Google Scholar 

Rudolph JL, Inouye SK, Jones RN, et al. Delirium: An Independent Predictor of Functional Decline After Cardiac Surgery. J Am Geriatr Soc. 2010;58:643–9. https://doi.org/10.1111/j.1532-5415.2010.02762.x.

Article  PubMed  PubMed Central  Google Scholar 

Brown CH, Laflam A, Max L, et al. The Impact of Delirium After Cardiac Surgical Procedures on Postoperative Resource Use. Ann Thorac Surg. 2016;101:1663–9. https://doi.org/10.1016/j.athoracsur.2015.12.074.

Article  PubMed  PubMed Central  Google Scholar 

Diao Y, Yu X, Zhang Q, et al. The predictive value of confusion assessment method-intensive care unit and intensive care delirium screening checklist for delirium in critically ill patients in the intensive care unit: A systematic review and meta-analysis. Nurs Crit Care. 2024;29:1224–35. https://doi.org/10.1111/nicc.13064.

Article  PubMed  Google Scholar 

Zhang Y, Diao D, Zhang H, et al. Validity and predictability of the confusion assessment method for the intensive care unit for delirium among critically ill patients in the intensive care unit: A systematic review and meta-analysis. Nurs Crit Care. 2024;29:1204–14. https://doi.org/10.1111/nicc.12982.

Article  PubMed  Google Scholar 

Tapia R, López-Herce J, Arias Á, et al. Validity and Reliability of the Richmond Agitation-Sedation Scale in Pediatric Intensive Care Patients: A Multicenter Study. Front Pediatr 2022;9. https://doi.org/10.3389/fped.2021.795487.

Johndro C, Caffyn S, Chen J, et al. Prehospital Use of Ketamine Versus Midazolam for Sedation in Acute Severe Agitation. Int J Paramed 2024:23–30. https://doi.org/10.56068/RHLT6550.

Glasser L, Doerfler R. A brief introduction to nomography: graphical representation of mathematical relationships. Int J Math Educ Sci Technol. 2019;50:1273–84. https://doi.org/10.1080/0020739X.2018.1527406.

Article  Google Scholar 

Tang D, Ma C, Xu Y. Interpretable machine learning model for early prediction of delirium in elderly patients following intensive care unit admission: a derivation and validation study. Front Med 2024;11. https://doi.org/10.3389/fmed.2024.1399848.

Hong L, Xu H, Ge C, et al. Prediction of low cardiac output syndrome in patients following cardiac surgery using machine learning. Front Med 2022;9. https://doi.org/10.3389/fmed.2022.973147.

Sadeghirad B, Dodsworth BT, Schmutz Gelsomino N, et al. Perioperative Factors Associated With Postoperative Delirium in Patients Undergoing Noncardiac Surgery: An Individual Patient Data Meta-Analysis. JAMA Netw Open. 2023;6:e2337239. https://doi.org/10.1001/jamanetworkopen.2023.37239.

Article  PubMed  PubMed Central  Google Scholar 

Yokoyama C, Yoshitnai K, Ogata S, et al. Effect of postoperative delirium after cardiovascular surgery on 5-year mortality. JA Clin Rep. 2023;9:66. https://doi.org/10.1186/s40981-023-00658-0.

Article  PubMed  PubMed Central 

Comments (0)

No login
gif