Perioperative medicine & outcomes
Preoperative Cognitive Impairment and Postoperative Delirium in Elderly Surgical Patients: A Retrospective Large Cohort Study (The CIPOD Study)
Main findingResult — go to the resultAdjusted odds ratio 3.3 95% CI 2.3–4.7Authors' conclusion
One-fifth of elective surgical patients ≥70 years present to surgery with preoperative cognitive impairment. These patients are at increased risk of postoperative delirium and major adverse outcomes.
Study context
- Population
- Elective noncardiac surgical patients ≥70 years without pre-existing dementia, January–December 2020screened of 1518 eligible
- Participants
- 1,338 patients
- Exposure
- Preoperative cognitive impairment vs no cognitive impairment
- Cognitive impairmentn = 279
- Outcome
- Postoperative delirium (4A's test score ≥4) in PACU and initial 2 postoperative days
Methodological detailssingle-centre, prospectively collected data
- Single-centre
- Prospectively collected data
Main finding
As reported in the abstract
Adjusted odds ratio
3.3
95% CI 2.3–4.7
By group
Cognitive impairment vs No cognitive impairment
aOR 3.3 (95% CI 2.3–4.7)
- Overall postoperative delirium
- 15% (199/1338)
Observational data: associations, not effects.
Further findings
Hospital LOS
- Median 1-day longer hospital stay with cognitive impairment
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Preoperative Cognitive Impairment and Postoperative Delirium in Elderly Surgical Patients: A Retrospective Large Cohort Study (The CIPOD Study). Ann Surg. Published 1 August 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →