Perioperative medicine & outcomes

Preoperative Plasma Tau-PT217 and Tau-PT181 Are Associated With Postoperative Delirium

Ann SurgPublished Prospective cohort study

Authors' conclusion

Preoperative plasma concentrations of Tau-PT217 and Tau-PT181 were associated with postoperative delirium, with Tau-PT217 being a stronger indicator of postoperative delirium than Tau-PT181.

Study context

Population
Patients 65 years old or older undergoing knee replacement, hip replacement, or laminectomyof 491 screened
Participants
139 patients
Exposure
Preoperative plasma Tau-PT217 and Tau-PT181 concentrations and postoperative delirium
Outcome
Postoperative delirium
Methodological detailsbiomarker association study
  • Biomarker association study

Main finding

As reported in the abstract

Tau-PT217

0.969

AUC

Tau-PT181

0.885

AUC

Adjusted for age, education, preoperative Mini-Mental State score
Odds ratio per unit change (95% CI)P value
Tau-PT217
2.05(1.61–2.62)
P < 0.001
Tau-PT181
OR per unit change 4.12 (95% CI 2.55--6.67); P < 0.001

Observational data: associations, not effects.

Further findings

Delirium severity

β per unit change (95% CI)P value
Tau-PT2170.14 (0.09–0.19)P < 0.001
Tau-PT1810.41 (0.12–0.70)P = 0.006

Original publication

Preoperative Plasma Tau-PT217 and Tau-PT181 Are Associated With Postoperative Delirium. Ann Surg. Published 6 July 2022. doi:10.1097/sla.0000000000005487

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