Original scientific paper

ALCOHOLIC AND POSTOPERATIVE DELIRIUM: A CASE-CONTROL STUDY

Milan Novaković ; University of East Sarajevo, School of Medicine, Fo
Slavica Đukić Dejanović ; University of Kragujevac, School of Medicine, Kragujevac, Serbia
Joana Marić-Burmazević ; Clinical Hospital Center ”dr Dragiša Mišovi
Zoran Dakić ; Health Center Bijeljina, Bijeljina, Bosna & Hercegovina
Ivan Dimitrijević ; University of Belgrade, School of Medicine, Belgrade, Serbia; Clinic for Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia

Abstract

Background: Delirium is an urgent condition in psychiatry and it occurs after long-lasting alcohol abuse, in surgical procedures
and other organic mental syndromes with deprivation of interpersonal and social stimulations. The aim was to evaluate of sociodemographical
and psychopathological differences in delirium patients with alcoholand surgical genesis, studied in period from
January 1st 2003 to December 31st 2012 in Bosnia and Herzegovina (B&H).
Subjects and methods: Subjects were divided into two groups: alcoholics (N=75) and surgical patients (N=75) and multicentric,
prospective study was performed in B&H. The following instruments have been used: list of general data (according to MCD-10
criteria), Eysenck Personality Questionnaire (EPQ), Becks test of anxiety (BAI), Hamilton Depressive Rating Scale (HDRS) and
Mini Mental State Examination (MMSE). Descriptive and analytical statistical processing of patients has been performed (alpha
level: 0.001).
Results: Patients from alcohol group showed, with statistical significance p=0.001, the following: unemployment (OR=0.657, CI
0.540-670), ruined marriage (OR=0.570, CI 0.650-710), alcohol abuse (OR=0.179, CI 0.860-0.990), on represented expressed
psychoticism, (OR=0.635, CI 0.550-0.715) in EPQ test, HDRS total was more frequent (OR=0.925, CI 0.870-1.120) and on MMSE
test, total score was more frequent (OR=0.560, CI 0.570-810). Postoperative patients were older p=0.001 (OR= 1.120, CI 1.082-
1.159) with acutestress: (OR=0.735, CI 0.650-0.910) and showed neuroticism (OR=-0.660, CI 0.575-0.715). Discriminative function
confirms the differences between alcohol and surgical groups of delirium patients: Canonical Fcn: r=0.771; Wilkin’s lambda
(

Keywords

delirium – alcohol – postoperative - conditions

Hrčak ID:

162379

URI

https://hrcak.srce.hr/162379

Publication date:

9.3.2015.

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