Perioperative Best Practices and Delirium in Patients With Cognitive Impairment - PubMed
7 hours ago
- #cognitive impairment
- #postoperative delirium
- #perioperative care
- Patients with cognitive impairment are at increased risk for postoperative delirium despite advances in perioperative care.
- The study examined associations between anesthesia-related best practices and postoperative delirium in cognitively impaired patients.
- Twelve perioperative best practices across five domains were tracked, including medication avoidance, glycemic control, hemodynamic management, normothermia, and anesthetic monitoring.
- Maintaining glucose levels below 200 mg/dL, using a temperature probe, and keeping temperature above 36°C were associated with reduced delirium odds.
- No single best practice remained significant when analyzed concurrently, except for postoperative glucose monitoring.
- Current perioperative strategies were insufficient to prevent delirium, highlighting the need for refined care pathways and novel interventions.
- Tailored interventions leveraging electronic health records and scalable technology could improve management of high-risk patients.