PMID- 35504791
OWN - NLM
STAT- MEDLINE
DCOM- 20220706
LR  - 20220706
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 22
IP  - 4
DP  - 2022 Jul
TI  - Relationship between preoperative anxiety and onset of delirium after 
      cardiovascular surgery in elderly patients: focus on personality and coping 
      process.
PG  - 453-459
LID - 10.1111/psyg.12840 [doi]
AB  - BACKGROUND: Postoperative delirium is associated with increased mortality. 
      Therefore, it is important to manage delirium during the entire perioperative 
      period. Preoperative anxiety is associated with poor prognosis in postoperative 
      patients who have undergone cardiovascular surgery. This study aims to 
      investigate the relationship between preoperative anxiety and onset of delirium 
      after cardiovascular surgery in elderly patients (aged 65 years or older), 
      considering the individual psychological characteristics, such as personality and 
      stress coping skills in response to anxiety, as confounding factors. METHODS: 
      This prospective study included patients aged >65 years in a preoperative state 
      before undergoing cardiovascular surgery. Subjects were divided into two groups 
      based on whether they experienced postoperative delirium, or not. We compared 
      clinical and demographic factors, preoperative psychiatric and psychological 
      factors, and intraoperative and perioperative physical factors between the 
      control and delirium groups. Multiple imputations were used to account for 
      missing data. RESULTS: Out of 168 subjects enrolled in this study, 26 (15.5%) 
      developed postoperative delirium. Univariate analysis showed significant 
      differences in age (P = 0.027), cognitive function (P = 0.007), agreeableness 
      (P = 0.029), and the Acute Physiology and Chronic Health Evaluation-II 
      (APACHE-II) score (P = 0.023) between the delirium and control groups. Multiple 
      logistic regression analysis did not identify a significant association between 
      preoperative anxiety and the onset of postoperative delirium. However, age (odds 
      ratio (OR) = 1.114, P = 0.018), agreeableness (OR = 0.555, P = 0.008), and the 
      APACHE-II score (OR = 1.227, P = 0.008) were identified as risk factors for 
      postoperative delirium. CONCLUSION: Agreeableness, one of the personality traits 
      associated with preoperative anxiety, appears to be involved in the development 
      of postoperative delirium as an independent psychological factor, regardless of 
      age or physical factors.
CI  - (c) 2022 Japanese Psychogeriatric Society.
FAU - Fukunaga, Hiroe
AU  - Fukunaga H
AD  - Department of Nursing, Kumamoto School of Nursing, Kumamoto, Japan.
FAU - Sugawara, Hiroko
AU  - Sugawara H
AUID- ORCID: 0000-0001-5479-6161
AD  - Department of Psychiatry, Kansai Rosai Hospital, Amagasaki, Japan.
AD  - Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, 
      Japan.
FAU - Koyama, Asuka
AU  - Koyama A
AD  - Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, 
      Kumamoto, Japan.
FAU - Okamoto, Ken
AU  - Okamoto K
AD  - Department of Cardiovascular Surgery, Faculty of Life Sciences, Kumamoto 
      University, Kumamoto, Japan.
FAU - Fukui, Toshihiro
AU  - Fukui T
AD  - Department of Cardiovascular Surgery, Faculty of Life Sciences, Kumamoto 
      University, Kumamoto, Japan.
FAU - Ishikawa, Tomohisa
AU  - Ishikawa T
AD  - Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, 
      Kumamoto, Japan.
FAU - Takebayashi, Minoru
AU  - Takebayashi M
AD  - Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, 
      Kumamoto, Japan.
FAU - Sekiyama, Kaoru
AU  - Sekiyama K
AD  - Graduate School of Advanced Integrated Studies in Human Survivability, Kyoto 
      University, Kyoto, Japan.
FAU - Hashimoto, Mamoru
AU  - Hashimoto M
AD  - Department of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka, 
      Japan.
LA  - eng
PT  - Journal Article
DEP - 20220503
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Adaptation, Psychological
MH  - Aged
MH  - Anxiety/psychology
MH  - *Delirium/epidemiology/etiology
MH  - Humans
MH  - Personality
MH  - *Postoperative Complications/epidemiology
MH  - Prospective Studies
MH  - Risk Factors
OTO - NOTNLM
OT  - agreeableness
OT  - anxiety
OT  - delirium
OT  - personality
EDAT- 2022/05/04 06:00
MHDA- 2022/07/07 06:00
CRDT- 2022/05/03 22:05
PHST- 2022/04/05 00:00 [revised]
PHST- 2021/11/17 00:00 [received]
PHST- 2022/04/12 00:00 [accepted]
PHST- 2022/05/04 06:00 [pubmed]
PHST- 2022/07/07 06:00 [medline]
PHST- 2022/05/03 22:05 [entrez]
AID - 10.1111/psyg.12840 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2022 Jul;22(4):453-459. doi: 10.1111/psyg.12840. Epub 2022 May 
      3.