Perioperative medicine & outcomes

Incidence and relative risk of delirium after major surgery for patients with pre‐operative depression: a systematic review and meta‐analysis

AnaesthesiaPublished Systematic review and meta-analysis

Pooled result · Postoperative deliriumResult — go to the resultRelative risk 1.91 95% CI 1.68–2.17

Authors' conclusion

Patients with a previous diagnosis of depression or clinically important depressive symptoms before surgery have substantially greater risk of experiencing delirium after surgery.

Study context

Population
Adults undergoing major surgery
Participants
4,664,051 adults · 42 studies
Comparison
Pre-operative depression vs no pre-operative depression
Outcome
Postoperative delirium (incidence and relative risk)
Follow-up
Immediate postoperative period
Methodological detailsmultilevel random effects meta-analyses, subgroup analyses
  • Multilevel random effects meta-analyses
  • Subgroup analyses

Pooled result

Postoperative delirium

Relative risk

1.91

95% CI 1.68–2.17

By group

Pre-operative depression vs Without pre-operative depression
RR 1.91 (95% CI 1.68–2.17)

As reported in the abstract

Further pooled results

Postoperative delirium, cohorts overall

Pooled incidence
21% (95% CI 11-33%, I2 = 99.8%)

Original publication

Incidence and relative risk of delirium after major surgery for patients with pre‐operative depression: a systematic review and meta‐analysis. Anaesthesia. Published 4 September 2024. doi:10.1111/anae.16398

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