ArticleClinical interventions in aging2022
Prediction of Postoperative Delirium After Cardiac Surgery with A Quick Test of Cognitive Speed, Mini-Mental State Examination and Hospital Anxiety and Depression Scale.
Article in Clinical interventions in aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- The Predictive Value of Machine Learning for Postoperative Delirium in Cardiac Surgery: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Association between preoperative anxiety and postoperative delirium in older patients: a systematic review and meta-analysis.BMC geriatrics · 2023Pooled it
- Preoperative frontal lobe and global cognitive function as predictors of postoperative delirium after cardiovascular surgery: a predictive and exploratory mediation analysis.Heart and vessels · 2026Article
- Machine learning and artificial intelligence for delirium prediction with Electronic Health Records (EHR): a scoping review.BMC medical informatics and decision making · 2026Article
- Trajectories of emotional and physical distress during ICU stay and their association with clinical factors and cognitive status at discharge.Scientific reports · 2026Observational
- Association between EuroSCORE II and postoperative delirium in cardiac surgery patients: a prospective cross-sectional study.Annals of medicine and surgery (2012) · 2025Article
- Evaluating the predictive accuracy of cognitive screeners BAMCOG and MoCA in identifying postoperative delirium risk in aortic valve replacement patients: A cohort study.PLOS digital health · 2025Article
- Predicting Postoperative Delirium in Older Patients Before Elective Surgery: Multicenter Retrospective Cohort Study.JMIR aging · 2025Article
- Association between periprocedural cerebral desaturation during transcatheter aortic valve implantation and postprocedural delirium: a prospective observational study.BMC anesthesiology · 2025Observational
- Retrospective case-control study of intraoperative EEG correlates in postoperative delirium.Frontiers in medicine · 2025Article
- Lipocalin-2 in preoperative cerebrospinal fluid is a biomarker for postoperative delirium after hip fracture surgery in older adults: a prospective cohort study.Frontiers in neurology · 2025Article
- Society of cardiothoracic surgery in great Britain and Ireland guidance for adult mitral valve disease and interventions.BMJ surgery, interventions, & health technologies · 2025Article
- Clinical investigation into risk factors for delirium post-cardiac surgery and its implications for nursing intervention guided by behavior change theory.Journal of cardiothoracic surgery · 2024Article
- Correlation of preoperative inflammatory factors and emotional disorders with postoperative delirium in patients with craniocerebral trauma.World journal of psychiatry · 2024Article
- Effects of Chinese traditional five-element music intervention on postoperative delirium and sleep quality in elderly patients after non-cardiac surgery: a randomized controlled trial.Perioperative medicine (London, England) · 2024Article
- Temperature management in acute type A aortic dissection treatment: deep vs. moderate hypothermic circulatory arrest. Is colder better?Frontiers in cardiovascular medicine · 2024Article
- Association between preoperative sarcopenia and postoperative delirium in older patients undergoing gastrointestinal cancer surgery.Frontiers in aging neuroscience · 2024Article
- Delirium after Cardiac Surgery-A Narrative Review.Brain sciences · 2023Review
- Development of postoperative delirium prediction models in patients undergoing cardiovascular surgery using machine learning algorithms.Scientific reports · 2023Article
- Predicting postoperative delirium after cardiovascular surgeries from preoperative portable electroencephalography oscillations.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To evaluate if preoperative assessment with A Quick Test of Cognitive Speed (AQT) could increase the accuracy of predicting delirium after cardiac surgery compared to Mini-Mental State Examination (MMSE), and examine if a composite of variables, including cognitive function and depressive symptoms, could be useful to predict delirium. Patients and Methods: Cardiac surgery was performed in 218 patients (mean age 72 years). Preoperative evaluation involved AQT, MMSE and Hospital Anxiety And Depression Scale (HADS). Postoperative delirium was assessed using Nursing Delirium Screening Scale (Nu-DESC) and Confusion Assessment Method-ICU (CAM-ICU). Logistic regression was performed to detect predictors of postoperative delirium and receiver operator characteristic curves (ROC) with area under the curve (AUC) to determine the accuracy. Results: Postoperative delirium occurred in 47 patients (22%) who had lower MMSE scores (median (range), 27 (19-30) vs 28 (20-30), Conclusion: The ability of predicting delirium using AQT was similar to MMSE, and only slightly higher by combining AQT and MMSE. Adding HADS-D and cardiopulmonary bypass-time to MMSE and AQT increased the predictive power to a borderline acceptable discriminatory value. Preoperative cognitive tests and screening for depressive symptoms may help identify patients at risk of postoperative delirium. Yet, there is still a need to establish useful preoperative tests.
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