Perioperative medicine & outcomes
Preoperative assessment of postoperative delirium: a cross-sectional study of patients and anesthesiologists in Canada
Authors' conclusion
Most factors we identified to be associated with higher odds of POD discussion are recognized risk factors of POD.
Study context
- Population
- Patients ≥ 65 yr scheduled for elective noncardiac surgery and anesthesiologists in five Canadian hospitalsfive Canadian hospitals
- Participants
- 412 vs 267
- Exposure
- Patients vs anesthesiologists
- Patientsn = 412
- Anesthesiologistsn = 267
- Outcome
- Patient- and anesthesiologist-reported rates of POD risk discussion during preoperative meetings
Methodological detailsmulticentre, two-part survey, 412 of 510 approached patients; 267 of 1,205 invited anesthesiologists participated
- Multicentre
- Two-part survey
- 412 of 510 approached patients; 267 of 1,205 invited anesthesiologists participated
Main finding
As reported in the abstract
POD screening and discussion reported
Observational data: associations, not effects.
Further findings
| Outcome | Patients | Anesthesiologists |
|---|---|---|
| Importance of POD | 64% | average 8/10 |
| Rated "somewhat-extremely" important | 64% | — not stated in the abstract |
— not stated in the abstract
- Top reason prompting discussion (anesthesiologists)
- 42%
Predictors of patient-reported postoperative delirium (POD) discussion
- Previous history of delirium, higher education, number of daily medications and longer surgical duration associated with POD discussion
Original publication
Preoperative assessment of postoperative delirium: a cross-sectional study of patients and anesthesiologists in Canada. Can J Anaesth. Published 22 August 2023. doi:10.
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