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Open Access 01-12-2015 | Research article

Impact of malnutrition on postoperative delirium development after on pump coronary artery bypass grafting

Authors: Donata Ringaitienė, Dalia Gineitytė, Vaidas Vicka, Tadas Žvirblis, Jūratė Šipylaitė, Algimantas Irnius, Juozas Ivaškevičius, Tomas Kačergius

Published in: Journal of Cardiothoracic Surgery | Issue 1/2015

Abstract

Background & aims

Even though malnutrition is frequently observed in cardiac population outcome data after cardiac surgery in malnourished patients is very rare. No thorough research was done concerning the impact of malnutrition on neuropsychological outcomes after cardiac surgery. The aim of our study was to analyze the incidence of postoperative delirium development in malnourished patients undergoing on pump bypass grafting.

Methods

We performed a cohort study of adults admitted to Vilnius University Hospital Santariskiu Clinics for elective coronary artery bypass grafting. The nutritional status of the patients was assessed by Nutritional Risk Screening 2002 (NRS-2002) questionnaire the day before surgery. Patients were considered as having no risk of malnutrition when NRS-2002 score was less than 3 and at risk of malnutrition when NRS-2002 score was ≥3. During ICU stay patients were screened for postoperative delirium development using the CAM-ICU method. and divided into two groups: delirium and non delirium. The statistical analysis was preformed to evaluate the differences between the two independent groups. The logistic regression model was used to evaluate the potential preoperative and intraoperative risk factors of postoperative delirium.

Results

Ninety-nine patients were enrolled in the study. Preoperative risk of malnutrition was detected in 24 % (n = 24) of the patients. The incidence of early postoperative delirium in overall study population was 8.0 % (n = 8). The incidence of the patients at risk of malnutrition was significantly higher in the delirium group (5 (62.5 %) vs 19 (20.9 %), p <0.0191). In multivariate logistic regression analysis risk of malnutrition defined by NRS 2002 was an independent preoperative and intraoperative risk factor of postoperative delirium after coronary artery bypass grafting (OR: 6.316, 95 % CI: 1.384-28.819 p = 0.0173).

Conclusions

Preoperative malnutrition is common in patients undergoing elective coronary artery bypass grafting. Nutrition deprivation is associated with early postoperative delirium after on pump coronary artery bypass grafting.

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Title: Impact of malnutrition on postoperative delirium development after on pump coronary artery bypass grafting
Authors: Donata Ringaitienė
Dalia Gineitytė
Vaidas Vicka
Tadas Žvirblis
Jūratė Šipylaitė
Algimantas Irnius
Juozas Ivaškevičius
Tomas Kačergius
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2015
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-015-0278-x

At a glance: The STEP trials

Springer Medicine

Impact of malnutrition on postoperative delirium development after on pump coronary artery bypass grafting

Abstract

Background & aims

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background & aims

Methods

Results

Conclusions

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