Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Baranyi, A; Rothenhäusler, HB.
The impact of intra- and postoperative albumin levels as a biomarker of delirium after cardiopulmonary bypass: results of an exploratory study.
Psychiatry Res. 2012; 200(2-3):957-963
Doi: 10.1016/j.psychres.2012.05.030
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Baranyi Andreas
- Co-Autor*innen der Med Uni Graz
- Rothenhäusler Hans-Bernd
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- Abstract:
- In this prospective study the frequency of delirium after cardiac surgery with cardiopulmonary bypass (CPB) was determined. Furthermore, we investigated the impact of intra- and postoperative levels of albumin as a biomarker of delirium. Thirty-four patients who underwent elective CPB at the Department of Cardiac Surgery, Ludwig-Maximilians-University of Munich, Germany, were enroled in this prospective study. During the intensive care unit (ICU) stay and shortly after discharge from the ICU, delirious state was evaluated daily using the Delirium-Rating-Scale. Albumin was assayed pre-anaesthesia, immediately after induction of anaesthesia, at the beginning of the heart-lung-apparatus period, immediately before the opening and 5min after the opening of the aortic clamp, 24h and 48h postoperatively and on the day before discharge. After CPB, a clinical significant delirious state was observed in 11 patients (32.4%). The albumin level decreased during the surgical intervention and increased postoperatively with a maximum level at the time of discharge. CPB patients with delirious state showed a significantly lower albumin level 24h and 48h postoperatively than those without delirium. A low level of postoperative albumin seems to be a useful biomarker to identify patients with high risk of delirious state after CPB.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Albumins - metabolism
- Cardiopulmonary Bypass - adverse effects
- Delirium - blood
- Female -
- Humans -
- Male -
- Middle Aged -
- Neuropsychological Tests -
- Postoperative Period -
- Prospective Studies -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Delirium
- Albumin
- Cardiopulmonary bypass
- Intensive care unit