Preoperative heart rate variability analysis is as a potential simple and easy measure for predicting perioperative delirium in esophageal surgery.
Preoperative heart rate variability analysis is as a potential simple and easy measure for predicting perioperative delirium in esophageal surgery.
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术前心率变异性分析是预测食管手术围手术期谵妄的一种潜在的简单易行的方法。
DOI：
10.1016/j.amsu.2021.102856
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Matsushima E
中科院分区：
文献类型：
--
作者：
Echizen M;Satomoto M;Miyajima M;Adachi Y;Matsushima E
谵妄是最常见但严重的围手术期并发症之一。最近报道称，通过心率变异性（HRV）评估自主神经活动是急性护理医学中预测和早期发现谵妄的有用工具，特别是术后重症监护病房（ICU）患者。我们假设手术前一天通过 3 导联心电图 (ECG) 测得的 HRV 可能与术后谵妄的存在相关。本研究为队列前瞻性试点研究。我们测量了接受择期食管癌手术的患者的术前 HRV 和术后谵妄。手术前 6-12 小时对参与者进行 10 分钟心电图检查。术后，患者被送入 ICU 或重症监护病房并住院至少 3 天。精神科医师每天查房两次，诊断出谵妄症。手术后 3 天对谵妄进行了评估，30 名患者进行了这项研究。七名患者在 ICU 住院期间出现谵妄，而其余 23 名患者则没有出现谵妄。经过HRV分析，谵妄患者术前高频功率明显低于非谵妄患者。 HRV的其他参数，包括低频功率、总功率和比率，组间无统计学差异。目前的研究结果表明，术前测量 HRV 可能是谵妄的有用预测指标。进一步的研究可能为一种无创、压力最小的预测术后谵妄的方法铺平道路。谵妄是最常见和最严重的术后并发症之一。谵妄预测可以为患者提供更好的治疗。心率变异性分析可能预测食管癌手术中的谵妄。
Delirium is one of the most common but severe perioperative complications. Autonomic activity evaluated by heart rate variability (HRV) has been recently reported as a useful tool for prediction and for early detection of delirium in acute care medicine, especially in postoperative intensive care unit (ICU) patients. We hypothesized that HRV, by 3-lead electrocardiogram (ECG), one day prior to surgery might correlate with the presence of postoperative delirium. This study was cohort prospective pilot study. We measured preoperative HRV and postoperative delirium in patients who underwent surgery for elective esophageal cancer. ECG of the participants was performed for 10 min 6–12 h preceding surgery. Postoperatively, patients were admitted to the ICU or critical care unit and stayed for at least 3 days. Delirium was diagnosed by psychiatrist rounds twice a day. Delirium was assessed for 3 days after surgery and 30 patients performed the study. Seven patients developed delirium during their ICU stay, while the remaining twenty-three did not. After HRV analysis, the preoperative high frequency power in delirium patients was significantly lower than that in non-delirium patient. Other parameters of HRV, including lower frequency power, total power and the ratio showed no statistically significant difference between the groups. The results of current study demonstrated that preoperative measurement of HRV may be a useful predictor of delirium. Further investigation could pave the way to a non-invasive, minimally stressful method of predicting postoperative delirium. Delirium is one of the most common and severe postoperative complications. Delirium prediction can provide better treatment for patients. Heart rate variability analysis might predict delirium in esophageal cancer surgery.
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DOI：
10.1177/0267659109358207
发表时间：
2009-11
期刊：
Perfusion
影响因子：
--
作者：
Rudolph JL;Babikian VL;Treanor P;Pochay VE;Wigginton JB;Crittenden MD;Marcantonio ER
通讯作者：
Marcantonio ER
影响因子：
4.8
作者：
Choi J;Cha W;Park MG
通讯作者：
Park MG
影响因子：
2.6
作者：
Gao, Hua;Ma, Hui-Juan;Li, Zheng
通讯作者：
Li, Zheng
影响因子：
2.8
作者：
Schubert, Maria;Schurch, Roger;Rudiger, Alain
通讯作者：
Rudiger, Alain
影响因子：
3.2
作者：
Oh, Jooyoung;Cho, Dongrae;Lee, Boreom
通讯作者：
Lee, Boreom