Perioperative medicine & outcomes

Association between postoperative delirium in the postanaesthesia care unit and subsequent ward delirium: A retrospective cohort study

Eur J AnaesthesiolPublished Retrospective cohort study

Main finding · Ward-PODResult — go to the resultAdjusted odds ratio 4.4 95% CI 3.2–6.3

Authors' conclusion

PACU-POD is a strong early marker of increased risk for ward-POD and other postoperative complications.

Study context

Population
Patients aged at least 70 years undergoing elective noncardiac, noncranial surgery under GA, 2020–2022
Participants
3,781 patients
Exposure
PACU-POD vs no PACU-POD
  • PACU-PODn = 341
Outcome
Ward-POD
Methodological detailssingle-centre, tertiary academic hospital
  • Single-centre
  • Tertiary academic hospital

Main finding

As reported in the abstract

Adjusted odds ratio

4.4

95% CI 3.2–6.3

P < 0.001

By group

PACU-POD

24.6

%

No PACU-POD

4.3%

PACU-POD vs No PACU-POD
aOR 4.4 (95% CI 3.2–6.3); P < 0.001

Observational data: associations, not effects.

Secondary outcomes

OutcomeaOR (95% CI)
In-hospital falls2.3 (1.2–4.4)
30-day mortality4.4 (1.5–13.0)

PACU LOS (exploratory)

P < 0.001

Hospital LOS (exploratory)

P = 0.01

Incidence of PACU-POD
9.1% · 341

Original publication

Association between postoperative delirium in the postanaesthesia care unit and subsequent ward delirium: A retrospective cohort study. Eur J Anaesthesiol. Published 22 January 2026. doi:10.1097/eja.0000000000002351

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