Perioperative medicine & outcomes

Metformin Use in Type 2 Diabetics and Delirium After Noncardiac Surgery: A Retrospective Cohort Analysis

Anesth AnalgPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 0.88 95% CI 0.73–1.05

Authors' conclusion

Chronic metformin use was associated with slightly and nonsignificantly less delirium.

Study context

Population
Adults with type 2 diabetes having major noncardiac surgerycases = surgeries
Exposure
Chronic metformin use vs no metformin use
Outcome
Delirium
Follow-up
First 5 days after major noncardiac surgery
Methodological detailsinverse propensity score weighting, propensity score calibration
  • Inverse propensity score weighting
  • Propensity score calibration

Main finding

As reported in the abstract

Odds ratio

0.88

95% CI 0.73–1.05

P = 0.155

Events by group

Metformin users vs Nonmetformin users
OR 0.88 (95% CI 0.73–1.05); P = 0.155

Observational data: associations, not effects.

Secondary outcomes

OutcomeMetformin usersNonmetformin usersEstimateP value
Composite of serious complications (MI, cardiac arrest, stage 2-3 AKI, mortality)3.3%11.7%common-effect OR 0.67 (97.5% CI 0.39–1.17)P = 0.106
Time to discharge alive3 (IQR 1–5) days3 (IQR 2–6) daysHR for early discharge 1.07 (CI 1.01–1.13)

Original publication

Metformin Use in Type 2 Diabetics and Delirium After Noncardiac Surgery: A Retrospective Cohort Analysis. Anesth Analg. Published 20 May 2024. doi:10.1213/ane.0000000000006863

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