Outcomes of a delirium prevention program in older persons after elective surgery. A stepped-wedge cluster randomized clinical trial.
Deeken F, Sanchez A, Rapp MA, Denkinger M, Brefka S, Spank J et al, for the PAWEL Study Group.
JAMA Surg 2022; 157: e216370.
A total of 1470 patents were randomly allocated to a prevention programme or standard care. Overall, the programme reduced the rate of postoperative delirium: 5.3 per cent versus 6.9 per cent in controls, P=0.047. It was ineffective after cardiac surgery.
Comment: Small effect only.
1 March 2022
Read paperAcademy
Part of the charitable activity of the Foundation, BJS Academy is an online educational resource for current and future surgeons.
The Academy is comprised of five distinct sections: Continuing surgical education, Young BJS, Cutting edge, Scientific surgery and Surgical news. Although the majority of this is open access, additional content is available to BJS subscribers and strategic partners.
