Cardiothoracic & vascular anesthesia
Functional intervention following cardiac surgery to prevent postoperative delirium in older patients (FEEL WELL study)
Authors' conclusion
Results of the study imply that a multisensory stimulation done on the first 3 days after planned cardiac surgery can reduce the incidence and duration of postoperative delirium in older patients.
Study context
- Population
- Patients over 65 years with elective cardiac surgery, University Hospital Bonn, Germany, 2021–2022
- Participants
- 186 participants
- Comparison
- Multisensory stimulation vs control
- Primary endpoint
- Incidence of postoperative delirium (3-min diagnostic interview for CAM)
- Follow-up
- First 5 days after surgery
Methodological detailsprospective, non-pharmacological intervention, single-centre
- Prospective
- Non-pharmacological intervention
- Single-centre
Primary result
As reported in the abstract
Incidence of postoperative delirium
P < 0.001
Further findings
| Outcome | P value |
|---|---|
| Duration of postoperative delirium | P < 0.001 |
| ICU stay | P = 0.006 |
Duration of postoperative delirium
- Significantly shorter in the intervention group
ICU stay
- Significantly longer in the control group
Factors associated with postoperative delirium (regression model)
- Non-intervention
- P = 0.007
- High pain scores
- P = 0.032
- Advanced age
- P = 0.006
- Prolonged mechanical ventilation
- P = 0.006
Original publication
Functional intervention following cardiac surgery to prevent postoperative delirium in older patients (FEEL WELL study). J Intensive Care. Published 13 December 2023. doi:10. 1186/ s40560-023-00711-1
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