Effects of dexmedetomidine on neurocognitive disturbance after elective non-cardiac surgery in senile patients: a systematic review and meta-analysis

May 13, 2021The Journal of international medical research

Dexmedetomidine's impact on thinking problems after planned non-heart surgery in older patients

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Abstract

The perioperative intravenous use of dexmedetomidine significantly reduced the incidence of and in 4,376 senile patients.

  • Dexmedetomidine is associated with a lower incidence of neurocognitive disturbances after elective non-cardiac surgery compared to saline.
  • Patients receiving dexmedetomidine experienced a higher likelihood of developing bradycardia and hypotension.
  • No significant differences were found between dexmedetomidine and control groups regarding nausea, vomiting, or mortality rates.

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Key numbers

0.53
Reduction in Incidence
Risk ratio for the incidence of compared to control.
1.39
Increase in Bradycardia Risk
Risk ratio for bradycardia incidence compared to control.

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