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Table 1 Characteristics of the patients included in the study

From: Effects of intravenous glucocorticoids on postoperative delirium in adult patients undergoing major surgery: a systematic review and meta-analysis with trial sequential analysis

First Author

Year

Type of Surgery

Glucocorticoids, Dose

Control

Number of Patients I/C

Age Mean (± SD) or Median (Interquartile Range) I/C

Assessment Methods, Time

Clemmesen

2018

Hip fracture surgery

MET, 125 mg

NS

59/58

79 (± 8) / 81 (± 9)

CAM-S, POD1-3

Hauer

2012

Cardiac surgery

HYD, 100 mg over 10 min before induction of anesthesia, and 10 mg/h on 24 h (POD1), 5 mg/h on POD2, 3*20 mg on POD3, 3*10 mg on POD4

NS

56/55

69.3 (± 8.9) / 68.0 (± 8.3)

DSM-IV, POD1

Huang

2023

Internal fixation surgery for geriatric intertrochanteric fracture

DEX, 10 mg in 30 min before being sent to the operating room

NS

80/80

84.5 (79.0–89.0) / 85.0 (79.8–90.2)

Nu-DESC and MDAS, POD 1–5

Kluger

2021

Hip fracture surgery

DEX, 20 mg before surgery

NS

40/39

81.4 (± 7.2) / 81.4 (± 8.9)

4AT, POD1-3

Mardani

2013

Cardiac surgery

DEX, 8 mg before surgery, 8 mg every 8 h for the first three post-operative days

NS

43/50

64.55 (± 11.10) / 60.04 (± 12.77)

MMSE, PROD and POD1-3

Sauër

2014

Cardiac surgery

DEX, 1 mg/kg (maximum 100 mg)

NS

367/370

67 (± 12) / 66 (± 12)

CAM-ICU, CAM

POD1-4

Whitlock

2015

Cardiac surgery

MET, 250 mg at anaesthetic induction and 250 mg at initiation of CPB

NS

3755/3752

67.5 (± 13.6) / 67.3 (± 13.8)

CAM, POD3

Xiang

2022

Gastrointestinal surgery

MET, 2 mg/kg before surgery

NS

84/84

71 (68–74) / 70 (68–73)

CAM, CAM-S, POD1-5

  1. I intervention group, C control group, SD standard deviation, MET methylprednisolone, NS normal saline, CAM-S confusion assessment method- severity, POD postoperative day, HYD hydrocortisone, DSM-IV diagnostic and statistical manual of mental disorders, fourth revision, DEX dexamethasone, Nu-DESC the nursing delirium screening scale, MDAS the memorial delirium assessment scale, 4AT the 4 ‘A’s test, MMSE minimum mental state examination, PROD pre-operative day, CAM-ICU confusion assessment method of intensive care unit, CAM confusion assessment method, CPB cardiopulmonary bypass