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Table 2 Results of meta-analysis on patient-related and procedure-related risk factors for POCD (continuous and dichotomous variables)

From: The risk factors of postoperative cognitive dysfunction in patients undergoing carotid endarterectomy: an updated meta-analysis

Risk factors

No. of patients (POCD/no POCD)

No. of included studies

MD

Lower 95% CIs

Upper 95% CIs

I2 (%)

P value

Age (years)

163/917

13

0.65

− 0.40

1.70

0

0.22

Cross-clamping

duration (min)

100/699

9

0.86

− 0.55

2.27

11

0.23

Education years

58/176

5

− 0.38

− 1.43

0.67

0

0.48

Mean degree of ICA stenosis n %

40/223

4

5.06

0.86

9.27

62

0.02

BMI

59/170

4

− 0.33

− 1.34

0.68

0

0.52

Risk factors

No. of patients (yes/no)

No. of included studies

ORs

Lower 95% CIs

Upper 95% CIs

I2 (%)

P value

Sex (male)

2528/931

17

0.97

0.80

1.16

0

0.71

Diabetes

471/1266

17

1.26

0.97

1.64

0

0.08

Hypertension

1291/529

16

1.07

0.82

1.39

15

0.62

Previous MI

242/705

4

0.92

0.43

1.98

39

0.83

Dyslipidaemia

432/419

10

1.13

0.73

1.75

0

0.59

Statin use

334/731

7

0.54

0.41

0.71

0

 < 0.0001

Smoking

676/367

7

1.06

0.78

1.44

0

0.69

Contralateral stenosis

136/261

6

1.06

0.71

1.59

0

0.76

Pre-operative symptoms

820/847

14

1.02

0.80

1.31

0

0.86

Hyperperfusion

64/431

6

38.67

19.32

77.38

0

 < 0.0001

Selective shunting use

11/251

2

0.93

0.11

7.80

0

0.95

  1. CI confidence interval; MD mean difference; OR odds ratio; POCD postoperative cognitive dysfunction