Cohort Studies
Conditions
Keywords
preoperative anxiety, Aged, postoperative delirium
Brief summary
This study is a retrospective analysis of a large-scale multicentre prospective cohort study that investigates the the relationship between Preoperative Anxiety and Postoperative Delirium in Elderly Chinese Patients: a Multicenter Prospective Cohort
Detailed description
This is a retrospective cohort study using prospective data from a multicenter database. 8000 elderly patients undergoing elective non-cardiac or non-neurosurgical surgery were included in this study. The Generalized Anxiety Disorder Scale (GAD-7) was used to measure preoperative anxiety symptoms. The confusion assessment method (3D-CAM) was used to assess postoperative delirium in elderly patients undergoing non-cardiac surgery. If the patient is discharged, follow up by phone or email. Binary logistic regression analysis and propensity score matching (PSM) and subgroup analysis were used to analyze the data.
Interventions
None listed
Sponsors
Beijing Tiantan Hospital
Peking University First Hospital
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Xiangya Hospital of Central South University
Beijing Anzhen Hospital
Central South University
Peking University People's Hospital
Zhejiang University
Fudan University
Sun Yat-sen University
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
China-Japan Friendship Hospital
The Affiliated Hospital Of Guizhou Medical University
First Affiliated Hospital of Xinjiang Medical University
First Affiliated Hospital of Guangxi Medical University
Taihe Hospital
Zhejiang Provincial People's Hospital
Shanghai Zhongshan Hospital
Chinese PLA General Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* elderly patients (age ≥ 65 years) * non-cardiac surgery, non-neurosurgical surgery
Exclusion criteria
* History of neurological or psychiatric disorders or use of neuropsychiatric drugs; * Impaired cognitive function or inability to cooperate with preoperative follow-up; * Sent to ICU after surgery; * Deletional delirium outcome; * Baseline missing \>5%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative delirium | within 7 days after surgery | The incidence of postoperative delirium was assessed by a 3-minute diagnostic interview in the surgical ward (3D-CAM). |
Countries
China
Outcome results
None listed