Perioperative medicine & outcomes
Anesthetic Practice Trends and Perceptions Toward Postoperative Delirium: A Mixed-Methods Analysis
Authors' conclusion
Perioperative practice trends are indicative of an improving environment for postoperative delirium. However, delirium guideline awareness remains variable among anesthesiologists, and key barriers continue to exist for identifying and preventing postoperative delirium.
Study context
- Population
- Noncardiac surgery patients aged ≥65 years (Multicenter Perioperative Outcomes Group database, 2009–2020); anesthesiologists from a major academic center without a structured delirium reduction program40 anesthesiologists surveyed
- Outcome
- Delirium guideline awareness among anesthesiologists and practice patterns based on guideline recommendations
Methodological detailsregistry database analysis, survey, focus groups, 3 focus groups
- Registry database analysis
- Survey
- Focus groups
- 3 focus groups
Main finding
As reported in the abstract
Decline in proportion of cases with midazolam 2009-2020; largest decrease in urologic surgeries
−3.9%/y
95% CI −4.2 to −3.6P < .001
Increase in RA use, particularly gynecologic surgeries
+2.3%/y
95% CI 1.2–3.4P = .001
Respondents aware of guidelines for anesthetic management of older adults
21 of 39
54%
Unawareness of delirium management guidelines as most frequently cited challenge
17 of 37, 46%
Observational data: associations, not effects.
Original publication
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