Early Warning Factors of Postoperative Delirium in Patients Undergoing Spinal Surgery and Its Prevention and Intervention Measures
XU Jingyi
LI Yuwei
WEN Yan
YUAN Linhan
YANG Yuzhuo
PAN Wenjing
LI Fang
Abstract：Objective To investigate the warning factors and clinical prevention and treatment strategies for postoperative delirium in patients undergoing spinal surgery.Methods The clinical data of 315 patients undergoing spinal surgery admitted to Luohe Central Hospital from March 2022 to March 2023 were retrospectively analyzed.According to whether postoperative delirium occurred,the selected patients were divided into the delirium group(44 cases)and the delirium free group(271 cases).The clinical data of the two groups were compared,and the early warning factors of postoperative delirium in patients undergoing spinal surgery were analyzed by multivariate logistic regression analysis.Results The age of the delirium group was older than that of the delirium free group,the body mass index(BMI)was higher than that of the delirium free group,and the proportion of patients with analgesic pump,history of stroke,history of chronic obstructive pulmonary disease and surgical site of cervical spine were higher than those of the delirium free group.The frequency of intraoperative hypotension was more than that of the delirium free group.The level of whole blood hemoglobin(Hb)after operation was lower than that in the delirious free group(P＜0.05).Multivariate logistic regression analysis showed that old age,history of stroke,cervical spine location,more times of intraoperative hypotension,and low level of whole blood Hb were independent risk factors for postoperative delirium in patients undergoing spinal surgery(OR=2.683,2.151,2.683,1.496,3.425,P＜0.05).Conclusion Older age,history of stroke,cervical vertebra as the surgical site,more times of intraoperative hypotension,and low level of whole blood Hb after spinal surgery were independent risk factors for postoperative delirium in patients undergoing spinal surgery.Therefore,relevant treatment or intervention measures could be given to high-risk patients to reduce postoperative delirium.
Keywords：postoperative deliriumspine surgeryearly warning factor
Publication Date：2025-01-29
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 249-252 )