Cardiothoracic & vascular anesthesia

Role of Intraoperative Neuromonitoring to Predict Postoperative Delirium in Cardiovascular Surgery

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · PODResult — go to the resultOdds ratio 2.12 95% CI 1.31–3.44

Authors' conclusion

Significant IONM changes are associated with an increased risk of POD in patients undergoing cardiovascular surgery.

Study context

Population
Adults (≥18 years) undergoing cardiovascular surgery with intraoperative neurophysiologic monitoring (IONM), University of Pittsburgh Medical Center hospitals, 2019–2021
Participants
578 adults
Exposure
IONM changes vs No IONM changes
  • IONM changesn = 134
  • No IONM changesn = 444reference
Outcome
POD
Methodological detailsmultivariate analysis
  • Multivariate analysis

Main finding

As reported in the abstract

Odds ratio

2.12

95% CI 1.31–3.44

P < 0.001

Events by group

IONM changes vs No IONM changes
OR 2.12 (95% CI 1.31–3.44); P < 0.001

Observational data: associations, not effects.

Further findings

Postoperative delirium (POD) incidence, overall

Patients with POD
126 (21.8%)

Baseline EEG abnormalities and POD

Baseline EEG abnormalities associated with POD
P = 0.002

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Role of Intraoperative Neuromonitoring to Predict Postoperative Delirium in Cardiovascular Surgery. J Cardiothorac Vasc Anesth. Published 12 September 2023. doi:10.1053/j.jvca.2023.09.010

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