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ORIGINAL ARTICLE
Year : 2020  |  Volume : 14  |  Issue : 2  |  Page : 136-140

The relationship between postoperative outcomes and delirium after liver transplantation in intensive care unit: A single-center experience


1 Department of Intensive Care Unit, Ankara Sehir Hastanesi, Ankara, Turkey
2 Department of Gastrointestinal Surgery, Ankara Sehir Hastanesi, Ankara, Turkey

Correspondence Address:
Dr. Ibrahim Mungan
Department of Intensive Care Unit, Ankara Sehir Hastanesi, Bilkent, Ankara
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijot.ijot_31_19

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Context: The incidence of delirium has been reported to be as high as 47% after liver transplantation (LT) and hepatic encephalopathy, acute kidney injury, the usage of calcineurin inhibitors, or high-dose steroids are accused as the reason for delirium. Aims: We aimed to evaluate the incidence of delirium and the relations with preoperative variables and postoperative outcomes after LT. Settings: In this single-center, retrospective, observational study, all patients who received an LT from 2015 to 2018 were enlisted. Subjects and Methods: The data were assessed by the Confusion Assessment Method for the Intensive Care Unit and Delirium Rating Scale-revised version to find the presence and the severity of delirium. Statistical Analysis Used: Spearman's rho test and Mann–Whitney U-test of contingency were used in this study. Results: During the study, 43 consecutive patients underwent LT and 10 patients (23.3%) developed delirium postoperatively. Intraoperative and postoperative features were not significantly different between the two groups, and the delirium onset day was found to be 5 ± 4.8 and the duration of delirium was 3.1 ± 2.23 days. There was no statistically significant relationship between delirium and postoperative outcomes. Conclusions: Delirium could be considered a cause or a consequence of critical illness and psychiatric disorder. Although in the present study, a statistically significant difference was not detected between delirium and outcomes after surgery, it was shown that the morbidity rate increases with delirium.


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