Perioperative Antibiotic Exposure and Postoperative Delirium in Older Adults Undergoing Elective Non-cardiac Surgery: A Single-center Prospective Cohort Study

Chinese PLA General Hospital (301 Hospital)

Status: Completed

Conditions: Delirium - Postoperative

Treatments: Drug: Perioperative antibiotics exposure

Study type: Observational

Funder types: Other

Identifiers

NCT07673510

ChinaPLAGH_Antibiotic

Details and patient eligibility

About

This study aimed to characterize the current patterns of perioperative prophylactic antibiotic use and to systematically evaluate the association between different antibiotic classes and the occurrence of POD, thereby providing clinically relevant safety evidence for perioperative antibiotic decision-making and delirium prevention strategies.

Full description

This prospective, observational, single-center cohort analysis was a substudy of the Perioperative Database of Chinese Elderly Patients (PDCEP) study.

Enrollment: 4,711 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients over 65 years old
• patients undergoing elective non-cardiac surgery

Exclusion criteria

• older adult patients who had history of psychotic disorders
• history of neurological disease
• conditions that would make assessments for delirium unreliable
• preoperative infection
• severe hepatic and renal dysfunction, minor and intermediate clean-incision surgery
• missing data exceeding 5%, and no medication records

Trial design

4,711 participants in 1 patient group

Antibiotic

Treatment:

Drug: Perioperative antibiotics exposure