Cardiothoracic & vascular anesthesia

Effects of short-term preoperative intranasal dexmedetomidine plus conventional treatment on delirium following cardiac surgery in patients with sleep disorders

Perioper Med (Lond)Published Randomised controlled trial

Primary resultResult — go to the resultOdds ratio 0.318 95% CI 0.112–0.905

Authors' conclusion

The combined treatment involving DEX demonstrated a decreased incidence of POD in elderly individuals with sleep disorders undergoing cardiac surgery compared to the placebo combination treatment.

Study context

Population
Patients aged ≥60 years with sleep disorders (Pittsburgh Sleep Quality Index ≥8) undergoing cardiac surgery at a university hospital
Participants
100 patients
Comparison
Group B vs Group A
  • Group Bn = 50
  • Group An = 50reference
Primary endpoint
Postoperative delirium (POD) (Confusion Assessment Method for the ICU (CAM-ICU) in the cardiac surgery intensive care unit (CSICU); CAM on the ward)
Methodological detailsprospective, placebo-controlled
  • Prospective
  • Placebo-controlled

Primary result

As reported in the abstract

Odds ratio

0.318

95% CI 0.112–0.905

P = 0.027

By group

Group B vs Group A
OR 0.318 (95% CI 0.112–0.905); P = 0.027

Original publication

Effects of short-term preoperative intranasal dexmedetomidine plus conventional treatment on delirium following cardiac surgery in patients with sleep disorders. Perioper Med (Lond). Published 9 March 2024. doi:10.1186/s13741-024-00371-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.