A retrospective analysis of the incidence of postoperative delirium and the importance of database selection for its definition

Postoperative delirium (POD) is a common complication after major surgery, resulting in various adverse reactions. However, incidence and risk factors associated with POD after shoulder arthroplasty (SA) have not been well studied using a large-scale national database. A retrospective database analy...

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Veröffentlicht in:BMC psychiatry 2023-02, Vol.23 (1), p.88-88, Article 88
Hauptverfasser: Yang, Qinfeng, Fu, Jinlang, Pan, Xin, Shi, Danping, Li, Kunlian, Sun, Min, Ding, Jie, Shi, Zhanjun, Wang, Jian
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Sprache:eng
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Zusammenfassung:Postoperative delirium (POD) is a common complication after major surgery, resulting in various adverse reactions. However, incidence and risk factors associated with POD after shoulder arthroplasty (SA) have not been well studied using a large-scale national database. A retrospective database analysis was performed based on the Nationwide Inpatient Sample (NIS) from 2005 to 2014, the largest fully paid hospital care database in the United States. Patients undergoing SA were included. The patient's demographics, comorbidities, length of stay (LOS), total costs, type of insurance, type of hospital, in-hospital mortality, and medical and surgical perioperative complications were assessed. A total of 115,147 SA patients were obtained from the NIS database. The general incidence of delirium after SA was 0.89%, peaking in 2010. Patients with delirium after SA had more comorbidities, prolonged LOS, increased hospitalization costs, and higher in-hospital mortality (P 
ISSN:1471-244X
1471-244X
DOI:10.1186/s12888-023-04576-4