Table 4.
Factors in association with postoperative delirium
| Variable | Univariate analysesa | Multivariate analysisb | ||
|---|---|---|---|---|
| OR (95% CI) | P value | OR (95% CI) | P value | |
| Complete handover of anesthesia care | 1.687 (1.006–2.828) | 0.041 | 1.787 (1.012–3.155) | 0.046 |
| Age, years | 1.049 (1.019–1.081) | 0.001 | 1.041 (1.008–1.074) | 0.013 |
| Body mass index, kg/m2 | 0.902 (0.853–0.954) | < 0.001 | 0.930 (0.878–0.985) | 0.013 |
| Previous stroke | 1.692 (1.083–2.644) | 0.021 | 1.785 (1.104–2.886) | 0.018 |
| Preoperative albumin < 30 g/L | 2.473 (1.301–4.702) | 0.006 | 1.700 (0.838–3.450) | 0.142 |
| Intraoperative use of etomidate | 1.823 (1.212–2.742) | 0.004 | 1.373 (0.879–2.143) | 0.163 |
| ICU admission with intubation | 2.109 (1.365–3.257) | 0.001 | 1.859 (1.162–2.974) | 0.010 |
| Prophylactic dexmedetomidinec | 0.345 (0.222–0.537) | < 0.001 | 0.354 (0.223–0.560) | < 0.001 |
| Postoperative propofol within 7 daysd | 1.570 (1.038–2.373) | 0.032 | – | – |
| Pathologically diagnosed cancer | 0.519 (0.328–0.820) | 0.005 | 0.610 (0.369–1.007) | 0.053 |
aPostoperative delirium within 7 days was modeled as a function of a single factor in the univariate logistic regression analyses
bPostoperative delirium within 7 days was modeled as a function of all factors with a P value < 0.05 in the univariate analyses. Multivariate Logistic regression analysis was performed using a Enter procedure. Hosmer–Lemeshow test of goodness of fit of the model: χ2 = 7.651, df = 8, P = 0.468
cAdministered as a continuous infusion at a rate of 0.1 µg/kg/h from ICU admission to 8 am of next morning [15]
dNot included in multivariable analysis because of correlation with ICU admission with intubation