Cited 22 times in
A personality trait contributes to the occurrence of postoperative delirium: a prospective study
DC Field | Value | Language |
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dc.contributor.author | 경성현 | - |
dc.contributor.author | 김재진 | - |
dc.contributor.author | 박진영 | - |
dc.contributor.author | 양규현 | - |
dc.contributor.author | 이우석 | - |
dc.contributor.author | 이종석 | - |
dc.date.accessioned | 2017-10-26T07:51:57Z | - |
dc.date.available | 2017-10-26T07:51:57Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152614 | - |
dc.description.abstract | BACKGROUND: Although various physical risk factors for delirium have been identified, the effect of psychological aspects is currently unknown. This study aimed to examine psychological risk factors for postoperative delirium and to identify hidden subgroups of delirium in clinical and psychological feature space. METHODS: Among 200 patients with hip fracture, 78 elderly patients were prospectively evaluated for clinical and psychological assessments before surgery. As delirium was assessed from the next day to the 7th day after surgery, postoperative delirium was found in 40 patients, but not in 38 patients. Univariate and multivariate logistic regression analyses were used to explore risk factors for postoperative delirium. Phenotypic subgroups of delirium were assessed using Topological Data Analysis, in which the significant risk factors were used for evaluating filter and distance metrics. RESULTS: Mini-Mental State Examination, neuroticism, conscientiousness, and regional anesthesia were identified as a predictive risk factor for postoperative delirium. The filter metric showed significant negative correlations with nutrition-related factors such as total protein and albumin. When filter metric and Euclidean distances were entered, delirious patients were bifurcated as a function of personality traits and anesthesia method in the patient-patient network. CONCLUSIONS: A personality trait of neuroticism and conscientiousness may predispose elderly patients to postoperative delirium and this influence may be amplified by regional anesthesia. This study verifies the contribution of psychological risk factors to delirium and provides new insight for complex etiologies of delirium by mapping various clinical variables in the topological space. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/octet-stream | - |
dc.publisher | BioMed Central | - |
dc.relation.isPartOf | BMC PSYCHIATRY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Anesthesia/adverse effects | - |
dc.subject.MESH | Anesthesia/methods | - |
dc.subject.MESH | Anesthesia/psychology* | - |
dc.subject.MESH | Anxiety Disorders/psychology* | - |
dc.subject.MESH | Delirium/psychology* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hip Fractures/psychology | - |
dc.subject.MESH | Hip Fractures/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Neuropsychological Tests | - |
dc.subject.MESH | Neuroticism | - |
dc.subject.MESH | Personality* | - |
dc.subject.MESH | Postoperative Complications/psychology* | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.title | A personality trait contributes to the occurrence of postoperative delirium: a prospective study | - |
dc.type | Article | - |
dc.publisher.location | England | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Life Science | - |
dc.contributor.googleauthor | Jung Eun Shin | - |
dc.contributor.googleauthor | Sunghyon Kyeong | - |
dc.contributor.googleauthor | Jong-Seok Lee | - |
dc.contributor.googleauthor | Jin Young Park | - |
dc.contributor.googleauthor | Woo Suk Lee | - |
dc.contributor.googleauthor | Jae-Jin Kim | - |
dc.contributor.googleauthor | Kyu Hyun Yang | - |
dc.identifier.doi | 10.1186/s12888-016-1079-z | - |
dc.contributor.localId | A00870 | - |
dc.contributor.localId | A01701 | - |
dc.contributor.localId | A02282 | - |
dc.contributor.localId | A02992 | - |
dc.contributor.localId | A03141 | - |
dc.contributor.localId | A04506 | - |
dc.relation.journalcode | J00372 | - |
dc.identifier.eissn | 1471-244X | - |
dc.relation.journalsince | 2001~ | - |
dc.identifier.pmid | 27809817 | - |
dc.subject.keyword | Delirium | - |
dc.subject.keyword | Logistic regression | - |
dc.subject.keyword | Personality | - |
dc.subject.keyword | Risk factor | - |
dc.subject.keyword | Topological data analysis | - |
dc.contributor.alternativeName | Kyeong, Sung Hyon | - |
dc.contributor.alternativeName | Kim, Jae Jin | - |
dc.contributor.alternativeName | Park, Jin Young | - |
dc.contributor.alternativeName | Yang, Kyu Hyun | - |
dc.contributor.alternativeName | Lee, Woo Suk | - |
dc.contributor.alternativeName | Lee, Jong Seok | - |
dc.contributor.affiliatedAuthor | Kim, Jae Jin | - |
dc.contributor.affiliatedAuthor | Park, Jin Young | - |
dc.contributor.affiliatedAuthor | Yang, Kyu Hyun | - |
dc.contributor.affiliatedAuthor | Lee, Woo Suk | - |
dc.contributor.affiliatedAuthor | Lee, Jong Seok | - |
dc.contributor.affiliatedAuthor | Kyeong, Sung Hyon | - |
dc.citation.volume | 16 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 371 | - |
dc.identifier.bibliographicCitation | BMC PSYCHIATRY, Vol.16(1) : 371, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 39625 | - |
dc.type.rims | ART | - |
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