RT Journal Article
T1 Projection of visual material on postoperative delirium in patients undergoing cardiac surgery A double blind randomized clinical trial
A1 Méndez Martínez, Carlos
A1 Gómez Salgado, Juan
A1 Fernández García, Daniel
AB Postoperative delirium is a neurobehavioral disorder that can appear after surgery. It is characterized by an alteredlevel of consciousness and impaired cognitive function. The aim of this study was to evaluate the impact of visual projection ofimages of relatives or loved ones in patients undergoing cardiac surgery in the immediate postoperative period, and its influenceon the incidence and development of postoperative delirium.A randomized, double-blind clinical trial was designed in the immediate postoperative period of adult patientsundergoing cardiac surgery. Consolidated Statement of Reporting Trials guidelines were followed. A control group (CG) andan intervention group (IG) were established. In the IG, the patients underwent a visual projection, while the usual unit treatmentwas carried out with the CG. Sociodemographic, anthropometric, anesthetic, and surgical variables were also recorded. Thepostoperative delirium assessment scale used was the confusion assessment method for diagnosing delirium in intensive careunit patients.Information was collected from 104 patients undergoing cardiac surgery. Most of the patients included in thestudy were men (66.35%) and the most performed surgical intervention was aortic valve replacement (34.62%). In theCG, positive patients in postoperative delirium increased from 19.23% to 25%, while in the IG they decreased from 5.77%to 1.92%. The logistic regression analysis presents a prediction model where the variables that influence the model aregender and group membership, meaning that being female and belonging to the IG significantly reduce the presence ofdelirium.The projection of visual material reduced the incidence of postoperative delirium in patients undergoing cardiacsurgery, although it cannot be established that it is effective as a treatment once the pathology is already established
PB Ovid Technologies
SN 1536-5964 (electrónico)
SN 0025-7974
YR 2024
FD 2024-10
LK https://hdl.handle.net/10272/24654
UL https://hdl.handle.net/10272/24654
LA eng
NO Méndez-Martínez, C., Casado-Verdejo, I., Fernández-Fernández, J. A., Sánchez-Valdeón, L., Bello-Corral, L., Méndez-Martínez, S., Sandoval-Diez, A., Gómez-Salgado, J., García-Suárez, M., & Fernández-García, D. (2024). Projection of visual material on postoperative delirium in patients undergoing cardiac surgery: A double blind randomized clinical trial. In Medicine (Vol. 103, Issue 40, p. e39470). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/md.0000000000039470
DS Repositorio Institucional de la Universidad de Huelva
RD 30 may 2026