title: Long-Term Effects of Postoperative Delirium in Patients Undergoing Cardiac Operation: A Systematic Review.
abstract: Delirium is an acute syndrome that involves fluctuating changes in attention and cognition. Although delirium is the most common neurologic complication after cardiac operation, data about its impact on long-term outcomes are lacking. The purpose of this systematic review was to examine the effect of postoperative delirium (PoD) on long-term outcomes, including morbidity, probability of death, cognitive decline, institutionalization, and health-related quality of life (HRQoL) in patients undergoing cardiac operation. After performing this systematic review we determined that PoD after cardiac operation is associated with an increased risk of probability of death and readmission to the hospital and a decrease in cognitive function, overall function, and HRQoL.
authors.affiliation: Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
authors.forename: Elise
authors.initials: E
authors.lastname: Crocker
authors.affiliation: School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
authors.forename: Thomas
authors.initials: T
authors.lastname: Beggs
authors.affiliation: Saint John Regional Hospital, Saint John, Canada.
authors.forename: Ansar
authors.initials: A
authors.lastname: Hassan
authors.affiliation: Montreal Heart Institute, Montreal, Canada.
authors.forename: André
authors.initials: A
authors.lastname: Denault
authors.affiliation: Montreal Heart Institute, Montreal, Canada.
authors.forename: Yoan
authors.initials: Y
authors.lastname: Lamarche
authors.affiliation: Faculty of Medicine and Dentistry and School of Public Health, University of Alberta, Edmonton, Canada.
authors.forename: Sean
authors.initials: S
authors.lastname: Bagshaw
authors.affiliation: Montreal Heart Institute, Montreal, Canada.
authors.forename: Mahsa
authors.initials: M
authors.lastname: Elmi-Sarabi
authors.affiliation: St. Boniface Hospital, Winnipeg, Canada.
authors.forename: Brett
authors.initials: B
authors.lastname: Hiebert
authors.affiliation: University of Manitoba Libraries, Winnipeg, Canada.
authors.forename: Kerry
authors.initials: K
authors.lastname: Macdonald
authors.affiliation: University of Manitoba Libraries, Winnipeg, Canada.
authors.forename: Lori
authors.initials: L
authors.lastname: Giles-Smith
authors.affiliation: Seven Oaks General Hospital Renal Program, Winnipeg, Canada; Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada.
authors.forename: Navdeep
authors.initials: N
authors.lastname: Tangri
authors.affiliation: Department of Surgery (Cardiac Surgery), University of Manitoba, Winnipeg, Canada. Electronic address: rakeshcarora@gmail.com.
authors.forename: Rakesh C
authors.initials: RC
authors.lastname: Arora
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003693:Delirium / Q000453:epidemiology / Q000209:etiology*; D005500:Follow-Up Studies; D014943:Global Health; D006801:Humans; D015994:Incidence; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors; D013997:Time Factors