Perioperative medicine & outcomes

Postoperative Delirium After Coronary Artery Bypass Grafting in the United States, 2016-2021: Trends, Risk Factors, and Outcomes

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Main finding · Incidence of PODResult — go to the resultOdds ratio 1.04

Authors' conclusion

POD after CABG is a common and costly complication.

Study context

Population
Adults ≥18 years undergoing isolated coronary artery bypass grafting (CABG), US National Inpatient Sample, 2016–2021
Participants
911,910 CABG hospitalizations
Exposure
Postoperative delirium (POD) vs no POD after isolated CABG
Outcome
Incidence of POD
Methodological detailsdischarge weights and survey-specific analytic methods, National Inpatient Sample
  • Discharge weights and survey-specific analytic methods
  • National Inpatient Sample

Main finding

As reported in the abstract

Odds ratio

1.04

P < 0.001

POD incidence
4.91%

Observational data: associations, not effects.

Further findings

Factors associated with POD (multivariable)

aORP value
Pre-existing dementiaStrongest associations after multivariable adjustment4.28P < 0.001
Alcohol abuseStrongest associations after multivariable adjustment3.38P < 0.001
Psychotic disordersStrongest associations after multivariable adjustment2.40P < 0.001
OutcomeEstimateP value
MortalityaOR 1.85P < 0.001
LOSdifference four days longerP < 0.001
Hospitalization costsdifference $8,565 higher costsP < 0.001

Major complications

POD independently associated with major complications

Original publication

Postoperative Delirium After Coronary Artery Bypass Grafting in the United States, 2016-2021: Trends, Risk Factors, and Outcomes. J Cardiothorac Vasc Anesth. Published 12 November 2025. doi:10.1053/j.jvca.2025.11.011

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

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