Outcome assessments
Outcome | Measurements | Timepoint |
Primary outcome | ||
Postoperative delirium | 3D-CAM/CAM-ICU | Evening on the day of surgery and morning and evening of the first five postoperative days |
Secondary outcomes | ||
Delayed neurocognitive recovery | Digit symbol substitution test, TMT Part A, TMT Part B | Preoperative, postoperative day 5 |
Need of supplemental oxygen | L/min | During postanaesthesia care unit/ICU stay |
Length of stay in ICU | Number of days at ICU | During ICU stay |
Early PONV | Patient assessment of PONV episode | First 2 hours after surgery |
Late PONV | Patient assessment of PONV episode | Evening on the day of surgery and morning and evening of the first five postoperative days |
Intraoperative hypotension | Intraoperative mean arterial pressure+cumulative catecholamine administration | Intraoperative |
Death within 5 days | First five postoperative days | |
Exploratory outcomes | ||
Days at home up to 30 days after surgery (number of days at home in the first month after surgery) | Phone follow-Up, patient records | 30 days after surgery |
Long-term neurocognitive disorder | Montreal Cognitive Assessment test via phone follow-up | Preoperative, 1 year after surgery |
AUC of inflammatory biomarkers | C reactive protein, interleukin-6, procalcitonin | Preoperative, within 2 hours after surgery, postoperative day 2 |
AUC of cardiac biomarkers | Troponin T, N-terminal probrain-natriuretic peptide, copeptin | Preoperative, within 2 hours after surgery, postoperative day 2 |
AUC of neuronal injury biomarkers | S100-B, neuron-specific enolase | Preoperative, within 2 hours after surgery, postoperative day 2 |
One-year all-cause mortality | One year after surgery | |
Substudy outcomes | ||
Advanced neurobiomarkers | Neurofilament light chain, glial fibrillary acidic protein | Preoperative, postoperative day 3 |
AUC, area under the curve; CAM, confusion assessment method; ICU, intensive care unit; PONV, postoperative nausea and vomiting; TMT, trail making test.