Meta analysis of risk factors for postoperative delirium in patients with head and neck tumours

doi:10.19438/j.cjoms.2023.04.015

Abstract

Abstract: PURPOSE: To identify the risk factors of postoperative delirium in patients with head and neck tumours and provide evidence for early prevention of clinical patients. METHODS: A systematic search of PubMed, Embase, The Cochrane Library, Web of Science, CNKI, Wanfang, CBM and VIP was conducted. Cohort studies and case-control studies on risk factors for postoperative delirium in patients with head and neck tumours were collected. The retrieval period was from the database construction to May 2022. RevMan 5.0 software was used for meta analysis. RESULTS: A total of 15 articles were included, with a sample size of 5801 cases, including 13 risk factors: age(WMD=7.24), gender(OR=1.99), with hypertention(OR=2.94), with diabetes(OR=1.49), preoperative mental disease(OR=3.50), smoking history (OR=1.79), ASA grade≥Ⅲ(OR=2.43), time of anesthesia (WMD=32.87), tracheotomy(OR=2.25), neck dissection (OR=2.47), intraoperative blood loss(WMD=124.77), postoperative sleep disorder(OR=5.28) and postoperative electrolyte disorder (OR=2.45). CONCLUSIONS: Medical staff should focus on the assessment and management of risk populations, reduce postoperative delirium in patients with head and neck tumours as much as possible, and improve the clinical prognosis of patients.

Key words: Head and neck tumours, Delirium, Risk factors, Meta analysis

CLC Number:

R739.8

XIANG Fu-ping, HOU Li-li, YANG Ling, WANG Yu, LIANG Jia-qing. Meta analysis of risk factors for postoperative delirium in patients with head and neck tumours[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(4): 407-412.

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