Cardiothoracic & vascular anesthesia

Incidence of delirium post cardiac surgery: Discrepancy between clinical observation, Delirium Observation Screening (DOS) scores, and single‑lead EEG

J Clin AnesthPublished Prospective cohort study

Authors' conclusion

Our findings reveal significant discrepancies in POD detection rates by diagnostic methods.

Study context

Population
Patients aged 65 or older scheduled for aortic valve replacement surgery
Participants
50 patients
Exposure
Clinical observation vs DOS vs single-lead EEG for postoperative delirium (POD) detection
Outcome
Incidence of delirium by clinical observation, DOS and single-lead EEG
Follow-up
Postoperative days 1, 3 and 7

Main finding

As reported in the abstract

POD incidence

P < 0.001

Concordance between clinical assessment and DOS
80 %

Observational data: associations, not effects.

Further findings

POD incidence over time · 7 postoperative days

Incidence declined across all methods over seven postoperative days

Original publication

Incidence of delirium post cardiac surgery: Discrepancy between clinical observation, DOS scores, and single‑lead EEG. J Clin Anesth. Published 18 June 2025. doi:10.1016/j.jclinane.2025.111896

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