Perioperative medicine & outcomes

Perioperative risk factors associated with increased incidence of postoperative delirium: systematic review, meta-analysis, and Grading of Recommendations Assessment, Development, and Evaluation system report of clinical literature

Br J AnaesthPublished Systematic review and meta-analysis

Authors' conclusion

Literature analysis identified inconsistent methodology, leading to challenges in interpretation.

Study context

Population
Adults undergoing surgery, studies using a validated diagnostic scale for postoperative delirium169 studies
Outcome
Risk factors for postoperative delirium
Methodological detailsGRADE assessment
  • GRADE assessment

Pooled result

As reported in the abstract

Risk factors for postoperative delirium (6 variables eligible for meta-analysis)
MD (95% CI)P value
Age
4.94(2.93–6.94)
P < 0.001
Mini-Mental State Examination
−1.94(−3.6 to −0.27)
P = 0.0224
Odds ratio (95% CI)P value
ASA physical status >2
2.27(1.47–3.52)
P < 0.001
Charlson Comorbidity Index ≥2
1.9(1.11–3.25)
P = 0.0202

Original publication

Perioperative risk factors associated with increased incidence of postoperative delirium: systematic review, meta-analysis, and Grading of Recommendations Assessment, Development, and Evaluation system report of clinical literature. Br J Anaesth. Published 7 July 2022. doi:10.1016/j.bja.2022.05.032

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