Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The relationship between STS risk score and post-operative delerium in ICU in of pump coronary artery bypass graft surgery

Document Type : Research Paper

Authors
Mahdi Fathi 1
Shahram Amini 2
Ghasem Soltani 3
Zahra Abbasi 4
Mohamad Abbasi teshnizi 5
Nahid Zirak 1
Narges Payab 6
1 1. Associate Professor of Anesthesiology, Mashhad University of Medical Sciences, Mashhad ,Iran.
2 Associate Professor of Anesthesiology, Mashhad University of Medical Sciences, Mashhad ,Iran.
3 Associate Professor of Anesthesiology, Mashhad University of Medical Sciences, Mashhad ,Iran
4 Mashhad University of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Student of Anesthesiology, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/mjms.2021.17605
Abstract
Objective: Despite the improvement in postoperative outcomes, delirium is a common neurological complication after cardiac surgery. Therefore, the present study was conducted to investigate the relationship between STS risk score and postoperative delirium in ICU in coronary artery bypass graft surgery.
Methods & Materials: 150 patients between the ages of 18 and 75 who underwent elective off-pump CABG surgery were evaluated for STS risk score during the operation, the anesthesia protocol was the same, the patient's blood pressure was kept in the optimal range (map: 60-80). Delirium in the patient was assessed with a CAM ICU checklist by a trained nurse after extubation. After the operation, the care protocol was the same in the ICU and in the ICU after extubation, the rate of delirium was assessed by the trained nurse.
Results: Frequency male and female was 57 and 93 respectively.  STS, was no significant difference between the two groups .The number of grafts and the length of hospital stay  in the group  was significantly . No significant differences were observed between the two groups.There was a significant correlation between age and weight and STS  . Weight,  height  and body mass index had a significant correlation with STS. The number of pixels received during operation with STS has a significant  correlation. The number of platelets received during operation with EF before surgery and  duration of operation had a significant negative and positive correlation, respectively.
Conclusion:The presence or absence of Delirium did not show a significant difference with STS score. The presence or absence of Delirium did not show a significant difference with STS score.
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Medical Journal of Mashhad university of Medical Sciences
Volume 63, Issue 6
January and February 2021
Pages 2004-2010