Nighttime sedative may cut delirium in elderly heart surgery patients

NCT ID NCT03624595

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested whether giving a low-dose sedative called dexmedetomidine at night can prevent delirium (sudden confusion) in older adults after heart surgery. The trial involved 504 patients aged 60-89 who had heart surgery with a heart-lung machine. The drug was infused overnight for up to 5 nights, and patients were checked for delirium twice daily. The goal was to see if this simple nighttime treatment could improve sleep, reduce confusion, and possibly boost long-term survival.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Dexmedetomidine (a sedative drug)
What this could lead to
If it works, this could provide a simple way to reduce confusion and improve recovery in older adults after heart surgery.
What could go wrong
This is a completed trial, but results may not apply to all patients. The drug can cause low blood pressure or slow heart rate, and benefits may be modest.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Beijing University First Hospital

    Beijing, Beijing Municipality, 100034, China

  • Fuwai Hospital of Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100037, China

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