Cardiothoracic & vascular anesthesia
The impact of a preoperative nurse-led orientation program on postoperative delirium after cardiovascular surgery: a retrospective single-center observational study
Main findingResult — go to the resultAdjusted odds ratio 0.45 95% CI 0.22–0.84Authors' conclusion
A preoperative nurse-led orientation program was associated with reduction of postoperative delirium and could be effective against postoperative delirium after cardiovascular surgery.
Study context
- Population
- Patients admitted to the ICU for planned cardiovascular surgery, January 2020–December 2021
- Participants
- 253 patients
- Exposure
- Preoperative nurse-led orientation visit vs no visit
- Preoperative visitsn = 128
- Outcome
- Postoperative delirium in the ICU
Methodological detailssingle-center, observational
- Single-center
- Observational
Main finding
As reported in the abstract
Adjusted odds ratio
0.45
95% CI 0.22–0.84
Events by group
Preoperative visits vs Without visits
aOR 0.45 (95% CI 0.22–0.84)
Observational data: associations, not effects.
Further findings
Hospital stay
P < 0.01
Other predictors of delirium
- Higher EuroSCORE II and lower minimum intraoperative cerebral oxygen saturation predicted delirium
Original publication
The impact of a preoperative nurse-led orientation program on postoperative delirium after cardiovascular surgery: a retrospective single-center observational study. J Intensive Care. Published 17 May 2023. doi:10.
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