Severe preoperative comorbidity (Charlson Comorbidity Index ≥3) significantly increased the odds of postoperative delirium (OR 3.13) and renal replacement therapy (OR 4.10) after cardiac surgery.
Cross-Sectional (n=483)
Open-label
No
Does the preoperative Charlson Comorbidity Index predict postoperative complications in adult patients undergoing cardiac surgery?
The Charlson Comorbidity Index is a valuable preoperative tool that effectively predicts severe postoperative complications, such as delirium and the need for renal replacement therapy, in patients undergoing cardiac surgery.
Odds Ratio: 3.13 (95% CI 1.37–7.13)
Absolute Event Rate: 27.3% vs 9.4%
p-value: p=<0.001
The CCI is a valuable tool for predicting postoperative complications in patients undergoing cardiac surgery. Early identification of comorbidities is essential for perioperative planning and optimizing clinical outcomes. Integrating the CCI into routine clinical practice is recommended to enhance patient management.
Manzur‐Sandoval et al. (Mon,) conducted a cross-sectional in Cardiac surgery (n=483). Severe comorbidity (Charlson Comorbidity Index ≥ 3) vs. Mild comorbidity (Charlson Comorbidity Index 0-1) was evaluated on Postoperative delirium (OR 3.13, 95% CI 1.37-7.13, p=<0.001). Severe preoperative comorbidity (Charlson Comorbidity Index ≥3) significantly increased the odds of postoperative delirium (OR 3.13) and renal replacement therapy (OR 4.10) after cardiac surgery.