Perioperative medicine & outcomes

Effects of Chinese traditional five-element music intervention on postoperative delirium and sleep quality in elderly patients after non-cardiac surgery: a randomized controlled trial

Perioper Med (Lond)Published Randomised controlled trial

Authors' conclusion

Chinese traditional five-element music intervention decreased the incidence of POD in elderly patients who underwent noncardiac surgery via improving sleep quality, which may be associated with increased levels of melatonin.

Study context

Population
Patients aged 65 to 90 years undergoing non-cardiac surgery
Participants
132 patients
Comparison
Intervention vs Control
  • Interventionn = 60
  • Controln = 63reference
Primary endpoint
POD (Confusion Assessment Method)
Follow-up
First 5 days after surgery

Primary result

As reported in the abstract

Incidence of POD · within 5 days

Further findings

Subjective sleep quality (Richards-Campbell Sleep Questionnaire (RCSQ) score) · first postoperative day

Significant improvement in the Intervention vs Control group; scores decreased in both groups vs preoperative day

Saliva melatonin · first postoperative day

Significant increase in the Intervention vs Control group

Saliva cortisol

No statistical difference between the two groups

Factors associated with postoperative delirium (POD)

Preoperative PSQI and MMSE scores associated with POD

Original publication

Effects of Chinese traditional five-element music intervention on postoperative delirium and sleep quality in elderly patients after non-cardiac surgery: a randomized controlled trial. Perioper Med (Lond). Published 28 May 2024. doi:10.1186/s13741-024-00408-5

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