Mesial temporal atrophy in preoperative MRI rather than steep Trendelenburg position is associated with postoperative delirium in patients undergoing a major urologic surgery

Purpose To investigate whether steep Trendelenburg in a major urologic surgery is associated with postoperative delirium, and to examine other potential clinical and radiologic factors predictive of postoperative delirium. Methods 182 patients who received a major urologic surgery and underwent a 3....

Full description

Saved in:
Bibliographic Details
Published in:International urology and nephrology 2024-05, Vol.56 (5), p.1543-1550
Main Authors: Park, Jae Hyon, Park, Insun, Yoon, Jongjin, Sim, Yongsik, Kim, Jinhyun, Lee, Seung-Koo, Joo, Bio
Format: Article
Language:English
Subjects:
Anesthesia
Atrophy
Atrophy - complications
Body mass index
Delirium
Delirium - complications
Delirium - etiology
Emergence Delirium - complications
Female
Head-Down Tilt
Humans
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Multivariate analysis
Nephrology
Patients
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prostatectomy
Retrospective Studies
Risk Factors
Surgery
Urological surgery
Urology
Urology - Original Paper
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To investigate whether steep Trendelenburg in a major urologic surgery is associated with postoperative delirium, and to examine other potential clinical and radiologic factors predictive of postoperative delirium. Methods 182 patients who received a major urologic surgery and underwent a 3.0-T brain MRI scan within 1 year prior to the date of surgery were retrospectively enrolled. Preoperative brain MRIs were used to analyze features related to small vessel disease burden and mesial temporal atrophy. Presence of a significant mesial temporal atrophy was defined as Scheltens’ scale ≥ 2. Patients’ clinico-demographic data and MRI features were used to identify significant predictors of postoperative delirium using the logistic regression analysis. Independent predictors found significant in the univariate analysis were further evaluated in the multivariate analysis. Results Incidence of postoperative delirium was 6.0%. Patients with postoperative delirium had lower body mass index (21.3 vs. 25.0 kg/m 2 , P  = 0.003), prolonged duration of anesthesia (362.7 vs. 224.7 min, P  
ISSN:1573-2584
0301-1623
1573-2584
DOI:10.1007/s11255-023-03898-2