Cardiothoracic & vascular anesthesia

Efficacy and safety of gastrodin in preventing postoperative delirium following cardiac surgery: a randomized placebo controlled clinical trial

Crit CarePublished Randomised controlled trial

Primary result · Postoperative deliriumResult — go to the resultRelative risk 0.54 95% CI 0.32–0.93

Authors' conclusion

Gastrodin infusion significantly reduced postoperative delirium and improved discharge outcomes in patients undergoing CABG

Study context

Population
Patients aged 18–75 scheduled for coronary artery bypass grafting (CABG), with or without valve replacement155 analysed
Participants
160 patients
Comparison
Gastrodin vs Placebo
  • Gastrodinn = 77
  • Placebon = 78reference
Primary endpoint
Co-primary: incidences of delirium and postoperative cognitive dysfunction (POCD)
Follow-up
ICU admission until POD 7 and at 1 and 3 months postoperatively
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

Postoperative delirium

Relative risk

0.54

95% CI 0.32–0.93

P = 0.022

By group

Gastrodin vs Placebo
RR 0.54 (95% CI 0.32–0.93); P = 0.022

As reported in the abstract

Further findings

In-hospital POCD (co-primary)

OutcomeSubhazard ratio (95% CI)P value
Hospital discharge1.20 (1.00–1.84)P = 0.049

Safety

Adverse events

Adverse events

None drug-related

Original publication

Efficacy and safety of gastrodin in preventing postoperative delirium following cardiac surgery: a randomized placebo controlled clinical trial. Crit Care. Published 11 March 2025. doi:10.1186/s13054-025-05331-9

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