Evidence map›Paper›PMID 37606836›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

Preoperative assessment of postoperative delirium: a cross-sectional study of patients and anesthesiologists in Canada.

Maram Khaled, Nayer Youssef, Stephen Choi, Vishal Uppal, Jason Chui, Maura Marcucci, Kim Madden, Harsha Shanthanna

Open access · bronzeAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Maram KhaledDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Nayer YoussefDepartment of Anesthesia, McMaster University, Hamilton, ON, Canada.
Stephen ChoiDepartment of Anesthesia, University of Toronto, Toronto, ON, Canada.
Vishal UppalDepartment of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, NS, Canada.
Jason ChuiDepartment of Anesthesia & Perioperative Medicine, Western University, London, ON, Canada.
Maura MarcucciDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Kim MaddenDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Harsha ShanthannaDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada. shanthh@mcmaster.ca.ORCID http://orcid.org/0000-0002-4105-4465
Impact · CAPopulation Health Research Institute · CADalhousie University · CAMcMaster University · CASunnybrook Health Science Centre · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe sought to evaluate 1) patient- and anesthesiologist-reported rates of postoperative delirium (POD) risk discussion during preoperative meetings, 2) patients' and anesthesiologists' ratings of the importance of POD, and 3) predictors of patient-reported discussion of POD risk during preoperative meetings.

methodsIn this multicentre two-part cross-sectional survey study, patients ≥ 65 yr scheduled to undergo elective noncardiac surgery completed a five-minute survey after preoperative anesthesia consultation. Patients were asked about their perception of POD importance, and whether they discussed or were assessed for POD risk. Anesthesiologists were surveyed using self-administered surveys circulated via institutional email lists. Anesthesiologists were asked about the frequency of POD risk assessment and discussion in older adults, tools used, and perception of POD-screening barriers.

resultsFour hundred and twelve (of 510 approached) patients (50% male; mean age, 73 yr) and 267 anesthesiologists (of 1,205 invited via e-mail) participated in this study conducted in five Canadian hospitals. Postoperative delirium screening and discussion was reported by 88/412 (22%) patients and 229/267 (86%) anesthesiologists. Postoperative delirium was rated as "somewhat-extremely" important by 64% of patients. A previous history of delirium, higher education, the number of daily medications, and longer surgical duration were associated with POD discussion. On average, anesthesiologists rated the importance of POD at 8/10, and 42% ranked "patient risk factors" as the top reason prompting discussion.

conclusionThe combined evaluation of patients' and anesthesiologists' perspectives provides valuable information on preoperative POD screening and risk assessment, and highlights areas for improvement in the current practice. Most factors we identified to be associated with higher odds of POD discussion are recognized risk factors of POD.

Indexed as

DeliriumEmergence DeliriumAgedAnesthesiologistsCanadaCross-Sectional StudiesFemaleHumansMalePostoperative ComplicationsRisk Factorsolder adultspostoperative deliriumpreoperative screeningrisk reductionshared decision-making

Identifiers

PMID37606836
OpenAlexW4386046101

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.