Cardiothoracic & vascular anesthesia

Intraoperative Blood Pressure Management and Its Effects on Postoperative Delirium After Cardiac Surgery: A Single-Center Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · Association of IOH episode frequency with postoperative delirium and strokeResult — go to the resultOdds ratio 1.02 95% CI 1.003–1.03

Authors' conclusion

This large retrospective monocentric cohort study revealed that increased episodes of IOH were associated with the risk of developing postoperative delirium after cardiac surgery.

Study context

Population
Adults undergoing elective cardiac surgery (excluding assist device implantation, organ transplantation, emergency surgery), single centre, 2009–2018
Participants
31,315 adults
Exposure
Intraoperative hypotension and adverse neurologic outcomes
Outcome
Association of IOH episode frequency with postoperative delirium and stroke
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Odds ratio

1.02

95% CI 1.003–1.03

P < 0.001

Frequency of IOH episodes
OR 1.02 (95% CI 1.003–1.03); P < 0.001
Postoperative delirium
2,401 (7.7%)
Postoperative stroke
849 (2.9%)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Intraoperative Blood Pressure Management and Its Effects on Postoperative Delirium After Cardiac Surgery: A Single-Center Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 1 February 2024. doi:10.1053/j.jvca.2024.01.027

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