Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease

Abstract Patients with vascular diseases are prone to developing postoperative delirium (POD). Ankle brachial index (ABI) is a non-invasive clinical indicator of lower-extremities peripheral arterial disease (PAD) and has been identified as an indicator of cognitive impairment. We investigated the a...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jihee Kang, Ji Hyun An, Hong Jin Jeon, Yang Jin Park
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d94c75d324104000bafb7361a1b28458
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:d94c75d324104000bafb7361a1b28458
record_format	dspace
spelling	oai:doaj.org-article:d94c75d324104000bafb7361a1b284582021-12-02T17:41:27ZAssociation between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease10.1038/s41598-021-91990-x2045-2322https://doaj.org/article/d94c75d324104000bafb7361a1b284582021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91990-xhttps://doaj.org/toc/2045-2322Abstract Patients with vascular diseases are prone to developing postoperative delirium (POD). Ankle brachial index (ABI) is a non-invasive clinical indicator of lower-extremities peripheral arterial disease (PAD) and has been identified as an indicator of cognitive impairment. We investigated the association between ABI and POD. 683 PAD patients who underwent elective leg arterial bypass surgery between October 1998 and August 2019 were collected for retrospective analysis. Demographic information, comorbidities, preoperative ABI and the Rutherford classification within one month prior to surgery were obtained. POD was assessed using the Confusion assessment method -intensive care unit. Logistic regression and receiver operating characteristics (ROC) curve analysis were used to assess the association between ABI and POD. The mean value of ABI was significantly lower in patients with POD than it was those without POD. Older age, more medical comorbidities, longer length of surgery, decreased ABI, and higher Rutherford class were all significantly associated with POD. The area under ROC (0.74) revealed that ABI below 0.35 was associated with development of POD. Lower preoperative ABI was associated with POD in PAD patients who underwent arterial bypass surgery.Jihee KangJi Hyun AnHong Jin JeonYang Jin ParkNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jihee Kang Ji Hyun An Hong Jin Jeon Yang Jin Park Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
description	Abstract Patients with vascular diseases are prone to developing postoperative delirium (POD). Ankle brachial index (ABI) is a non-invasive clinical indicator of lower-extremities peripheral arterial disease (PAD) and has been identified as an indicator of cognitive impairment. We investigated the association between ABI and POD. 683 PAD patients who underwent elective leg arterial bypass surgery between October 1998 and August 2019 were collected for retrospective analysis. Demographic information, comorbidities, preoperative ABI and the Rutherford classification within one month prior to surgery were obtained. POD was assessed using the Confusion assessment method -intensive care unit. Logistic regression and receiver operating characteristics (ROC) curve analysis were used to assess the association between ABI and POD. The mean value of ABI was significantly lower in patients with POD than it was those without POD. Older age, more medical comorbidities, longer length of surgery, decreased ABI, and higher Rutherford class were all significantly associated with POD. The area under ROC (0.74) revealed that ABI below 0.35 was associated with development of POD. Lower preoperative ABI was associated with POD in PAD patients who underwent arterial bypass surgery.
format	article
author	Jihee Kang Ji Hyun An Hong Jin Jeon Yang Jin Park
author_facet	Jihee Kang Ji Hyun An Hong Jin Jeon Yang Jin Park
author_sort	Jihee Kang
title	Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
title_short	Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
title_full	Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
title_fullStr	Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
title_full_unstemmed	Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
title_sort	association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d94c75d324104000bafb7361a1b28458
work_keys_str_mv	AT jiheekang associationbetweenanklebrachialindexanddevelopmentofpostoperativeintensivecareunitdeliriuminpatientswithperipheralarterialdisease AT jihyunan associationbetweenanklebrachialindexanddevelopmentofpostoperativeintensivecareunitdeliriuminpatientswithperipheralarterialdisease AT hongjinjeon associationbetweenanklebrachialindexanddevelopmentofpostoperativeintensivecareunitdeliriuminpatientswithperipheralarterialdisease AT yangjinpark associationbetweenanklebrachialindexanddevelopmentofpostoperativeintensivecareunitdeliriuminpatientswithperipheralarterialdisease
_version_	1718379731229868032

Association between ankle brachial index and development of postoperative intensive care unit delirium in patients with peripheral arterial disease

Ejemplares similares