Cardiothoracic & vascular anesthesia

Intraoperative high and low blood pressures are not associated with delirium after cardiac surgery: A retrospective cohort study

J Clin AnesthPublished Retrospective cohort study

Authors' conclusion

This large single-center cohort analysis found no evidence that exposure to high or low blood pressures during various intraoperative phases of cardiac surgery are associated with postoperative delirium.

Study context

Population
Adults (≥18 y) having cardiac surgery requiring CPB (excluding deep hypothermic circulatory arrest), Cleveland Clinic Main Campus, January 2017–December 2020
Participants
11,382 adults
Exposure
Intraoperative hypotension and hypertension before, during and after CPB
Outcome
Postoperative delirium
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • Confounder-adjusted associations of hypotension and hypertension with postoperative delirium not statistically significant or clinically meaningful before, during, or after CPB
  • Multivariable logistic regression, confounder-adjusted

Observational data: associations, not effects.

Further findings

Postoperative delirium incidence

Postoperative delirium, 678 of 11,382 patients
6.0 %

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

Original publication

Intraoperative high and low blood pressures are not associated with delirium after cardiac surgery: A retrospective cohort study. J Clin Anesth. Published 27 November 2024. doi:10.1016/j.jclinane.2024.111686

Composed by AI from the published abstract and checked against it. How Briefs are made →

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