Dokument: Risk of sarcopenia, frailty and malnutrition as predictors of postoperative delirium in surgery
| Titel: | Risk of sarcopenia, frailty and malnutrition as predictors of postoperative delirium in surgery | |||||||
| URL für Lesezeichen: | https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=68331 | |||||||
| URN (NBN): | urn:nbn:de:hbz:061-20250129-103117-4 | |||||||
| Kollektion: | Publikationen | |||||||
| Sprache: | Englisch | |||||||
| Dokumententyp: | Wissenschaftliche Texte » Artikel, Aufsatz | |||||||
| Medientyp: | Text | |||||||
| Autoren: | Moellmann, Henriette L. [Autor] Alhammadi, Eman [Autor] Boulghoudan, Soufian [Autor] Kuhlmann, Julian Max [Autor] Mevissen, Anica [Autor] Olbrich, Philipp [Autor] Rahm, Louisa [Autor] Frohnhofen, Helmut [Autor] | |||||||
| Dateien: |
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| Stichwörter: | Malnutrition, POD, Geriatric assessment, Surgery | |||||||
| Beschreibung: | Background
The risk factors for postoperative delirium are numerous and complex. One approach to identifying patients at risk is to evaluate their nutritional status. The aim of this prospective study is to better understand nutrition as a potential risk factor for postoperative delirium. Methods A comprehensive preoperative assessment (Clinical Frailty Scale (CFS), the SARC-F questionnaire, Mini Nutritional Assessment-Short Form (MNA-SF)) were carried out as a prospective clinical study on 421 patients (70+) from 4 different surgical disciplines. Postoperatively, patients are examined daily for the presence of delirium using the 4AT screening tool (Arousal, Attention, Abbreviated Mental Test − 4, Acute change), the Nursing Delirium Screening Scale (NuDesc) and the Confusion Assessment Method (CAM) with its adaptation for the intensive care unit (CAM-ICU). Results If there were indications of frailty or sarcopenia in the CFS or SARC-F, the association with delirium was increased 5.34-fold (OR of 5.34 [95% CI: 2.57;11.1]) and 5.56-fold (OR of 5.56 [95% CI: 2.97;10.4]) respectively. Delirium also occurred significantly more frequently with the risk of malnutrition or manifest malnutrition (MNA-SF) than with a normal nutritional status. Conclusions Patients’ preoperative and nutritional status significantly impact the risk of developing postoperative delirium. Factors such as frailty, sarcopenia and possible malnutrition must be considered when implementing an effective and targeted preoperative assessment. | |||||||
| Rechtliche Vermerke: | Originalveröffentlichung:
Möllmann, H., Alhammadi, E., Boulghoudan, S., Kuhlmann, J. M., Mevissen, A., Olbrich, P., Rahm, L., & Frohnhofen, H. (2024). Risk of sarcopenia, frailty and malnutrition as predictors of postoperative delirium in surgery. BMC Geriatrics, 24, Article 971. https://doi.org/10.1186/s12877-024-05566-1 | |||||||
| Lizenz: |  Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz | |||||||
| Fachbereich / Einrichtung: | Medizinische Fakultät | |||||||
| Dokument erstellt am: | 29.01.2025 | |||||||
| Dateien geändert am: | 29.01.2025 |
