Cardiothoracic & vascular anesthesia
Role of Intraoperative Neuromonitoring to Predict Postoperative Delirium in Cardiovascular Surgery
Main finding · PODResult — go to the resultOdds ratio 2.12 95% CI 1.31–3.44Authors' 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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