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Research Article
Seok Woo Kim
Hallym University Sacred Heart Hospital
Corresponding Author
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Delirium is one of the most common postoperative complications in surgical procedures. Postoperative delirium (POD) may affect normal recovery and outcomes after surgery. Degenerative Cervical myelopathy (DCM), a disease that progresses with age, usually associated with neurological symptoms. This study is designed to analyze the incidence and risk factors that cause post-operative delirium in DCM. The incidence and risk factors of delirium were analyzed in 148 patients aged 60 years or older who underwent surgery for DCM. Among the 148 patients who underwent surgery, 78 received laminoplasty, of whom 19 patients (24%) experienced delirium; the other 70 patients underwent ACDF, of whom five patients (7.1%) experienced delirium. The occurrence of POD in the laminoplasty group was 4.18 times higher than that in the ACDF group. Age, and sodium level were found to be significant risk factors for all 148 patients in a multivariate analysis. In the laminoplasty group, age, and high potassium level were meaningful risk factors in multiple regression analysis. Risk factors that affect the POD were not analyzed in ACDF due to the low n(=5). This study shows that the incidence and risk factors for POD can vary depending on the surgical method employed in patients with DCM.
Keywords
postoperative delirium (POD), incidence; risk factors, degenerative cervical myelopathy (DCM), laminoplasty, ACDF
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Seok Woo Kim
Hallym University Sacred Heart Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 21 Dec, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Delirium is one of the most common postoperative complications in surgical procedures. Postoperative delirium (POD) may affect normal recovery and outcomes after surgery. Degenerative Cervical myelopathy (DCM), a disease that progresses with age, usually associated with neurological symptoms. This study is designed to analyze the incidence and risk factors that cause post-operative delirium in DCM. The incidence and risk factors of delirium were analyzed in 148 patients aged 60 years or older who underwent surgery for DCM. Among the 148 patients who underwent surgery, 78 received laminoplasty, of whom 19 patients (24%) experienced delirium; the other 70 patients underwent ACDF, of whom five patients (7.1%) experienced delirium. The occurrence of POD in the laminoplasty group was 4.18 times higher than that in the ACDF group. Age, and sodium level were found to be significant risk factors for all 148 patients in a multivariate analysis. In the laminoplasty group, age, and high potassium level were meaningful risk factors in multiple regression analysis. Risk factors that affect the POD were not analyzed in ACDF due to the low n(=5). This study shows that the incidence and risk factors for POD can vary depending on the surgical method employed in patients with DCM.
Figure 1
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