Table 3.
Association between hypernatremia exposure and delirium after cardiac surgery.
| 95%CI for OR | ||||||
|---|---|---|---|---|---|---|
| Variable | Estimate | Wald | Adjusted OR | Lower | Upper | P Value |
| Hypernatremia | 0.55 | 27.10 | 1.73 | 1.41 | 2.12 | <0.001 |
| Sex (Female) | −0.56 | 29.43 | 0.57 | 0.47 | 0.70 | <0.001 |
| Age (year) | 0.03 | 51.75 | 1.03 | 1.03 | 1.04 | <0.001 |
| Hypertension | 0.29 | 8.50 | 1.34 | 1.10 | 1.63 | 0.004 |
| Diabetes | 0.14 | 1.48 | 1.15 | 0.92 | 1.45 | 0.224 |
| Myocardial infarction | 0.23 | 1.62 | 1.26 | 0.88 | 1.80 | 0.204 |
| Hyperlipidemia | −0.23 | 3.42 | 0.80 | 0.63 | 1.01 | 0.064 |
| Cerebral vascular disease | 0.13 | 0.80 | 1.14 | 0.86 | 1.52 | 0.37 |
| Atrial fibrillation | −0.06 | 0.23 | 0.94 | 0.73 | 1.21 | 0.631 |
| COPD | 0.21 | 1.10 | 1.23 | 0.84 | 1.81 | 0.295 |
| Heart failure | 0.01 | 0.01 | 1.01 | 0.82 | 1.25 | 0.907 |
| Kidney disease | 0.37 | 4.93 | 1.44 | 1.04 | 1.99 | 0.026 |
| Liver disease | 0.70 | 13.03 | 2.02 | 1.38 | 2.96 | <0.001 |
| Operation time (h) | 0.12 | 7.45 | 1.13 | 1.04 | 1.23 | 0.006 |
| Heart valve surgery | −0.13 | 0.33 | 0.88 | 0.57 | 1.36 | 0.567 |
| Isolated CABG | −0.17 | 0.66 | 0.84 | 0.56 | 1.27 | 0.416 |
| CABG + Heart valve surgery | 0.08 | 0.10 | 1.08 | 0.67 | 1.73 | 0.757 |
| AD repair surgery (Open Heart) | 0.94 | 13.96 | 2.57 | 1.57 | 4.21 | <0.001 |
| Intraoperative MAP fluctuation | 0.03 | 0.12 | 1.03 | 0.86 | 1.24 | 0.729 |
| Intraoperative blood loss (ml) | 0.02 | 0.06 | 1.02 | 0.89 | 1.17 | 0.813 |
| Intraoperative blood transfusion (ml) | 0.10 | 3.24 | 1.10 | 0.99 | 1.23 | 0.072 |
| Length of MV (h) | 0.02 | 32.91 | 1.02 | 1.01 | 1.02 | <0.001 |
| Length of ICU stay (days) | 0.05 | 2.18 | 1.05 | 0.98 | 1.13 | 0.14 |
| Length of hospital stay (days) | −0.07 | 27.98 | 0.93 | 0.90 | 0.95 | <0.001 |
CI, confidence interval; OR, odds ratio; COPD, chronic obstructive pulmonary disease; CABG, coronary artery bypass; AD, aortic dissection; MV, mechanical ventilation; MAP, mean artery pressure. Generalized estimating equation analysis was performed using a logistic link function, clustered by unique patient id. Comorbidities were included as Boolean and type of surgery was included as dummy variables.