Association between Preoperative Hand Grip Strength and Postoperative Delirium after Cardiovascular Surgery: A Retrospective Study

Kotani, Taichi; Ida, Mitsuru; Inoue, Satoki; Naito, Yusuke; Kawaguchi, Masahiko

doi:10.3390/jcm12072705

Cited by 3 publications

(1 citation statement)

References 23 publications

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“… 13 , 14 Moreover, some published studies have shown that low preoperative hand grip strength was an independent predictor of delirium after surgery. 15 , 16 However, there has been a paucity of research on the effect of grip strength before surgery on the occurrence of SSD in older patients undergoing joint replacement so far. Therefore, this study aimed to investigate the association between grip strength and SSD in older patients after joint replacement surgery.…”

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confidence: 99%

Grip Strength is a Predictor for Subsyndromal Delirium Among Older Adults Following Joint Replacement

Qian,

Shen,

Gao

et al. 2023

CIA

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Background Delirium is common in older patients during the postoperative period, increasing the number of adverse events, and grip strength is associated with delirium. Subsyndromal delirium (SSD) is a prostate of clinical delirium; nevertheless, the relationship between grip strength and SSD has not been elucidated. This study aimed to examine the association between grip strength and SSD in the elderly after arthroplasty. Methods A total of 181 patients were recruited from two Chinese hospitals. SSD and delirium were evaluated before the surgery and the first week after surgery using the confusion assessment method. The Mini-mental State Examination was used to assess patients’ cognitive function, and their grip strength was evaluated with an electronic hand dynamometer before surgery. Logistic regression and ROC curve analysis were conducted to determine the odds ratio and predictive value of grip strength for SSD. Results The incidence of SSD and postoperative delirium (POD) was 41.44% and 14.36% for the elderly following arthroplasty respectively, and approximately 1/3 of SSD progressed into POD. Older age, declined cognitive function, fall history, and lower grip strength were risk factors for SSD ( P <0.05). The area under the ROC curve of grip strength was 0.863 and 0.900 for males and females respectively, and the cut-off point of it was determined to be 22.050 kg for men and 18.050 kg for women. Conclusion SSD and POD are common among older people. Decreased grip strength, advanced age, lower cognitive function, and fall history were independent risk factors for SSD, and grip strength was a significant predictor for SSD in aged patients after the arthroplasty.

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Section: Introductionmentioning

confidence: 99%

Grip Strength is a Predictor for Subsyndromal Delirium Among Older Adults Following Joint Replacement

Qian,

Shen,

Gao

et al. 2023

CIA

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Association between delirium and grip strength in ICU patients for cardiac surgery (D-GRIP study)

Kotani,

Inoue,

Ida

et al. 2023

JA Clin Rep

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Association between preoperative sarcopenia and postoperative delirium in older patients undergoing gastrointestinal cancer surgery

Dong,

Yu,

Zhang

et al. 2024

Front. Aging Neurosci.

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BackgroundPostoperative delirium (POD) is a usual neurological complication, often leading to poor prognoses. Early identification of high-risk patients is crucial for preventing POD. Sarcopenia is an age-related geriatric syndrome characterized by the loss of skeletal muscle mass and function, and previous studies indicated that preoperative low muscle mass might be a predictor for POD. However, the association between preoperative sarcopenia and POD remains to be fully elucidated. This study was to explore the correlation between preoperative sarcopenia and POD following gastrointestinal cancer surgery in older patients.MethodsOlder patients (≥60 years) undergoing gastrointestinal cancer surgery were enrolled. Sarcopenia was defined based on the Special Interest Group on sarcopenia of the International Society of Physical and Rehabilitation Medicine (ISarcoPRM), which combined the loss of muscle mass (evaluated by ultrasound) and function (assessed by chair stand test and handgrip strength) before surgery. POD assessment was performed using the Confusion Assessment Method (CAM) or CAM for the intensive care unit (CAM-ICU) during the first 7 days after surgery or before discharge. Multivariate logistic regression analysis examined the correlation between preoperative sarcopenia and POD. Moreover, the receiver operator characteristic (ROC) curve was applied to analyze the predictive effect of the preoperative sarcopenia in POD.ResultsOne hundred and thirty patients were finally included, of which 43 patients presented with sarcopenia before surgery. Twenty-four patients ultimately developed POD, and the incidence was 18.5%. The results of the multivariate analyses demonstrated that preoperative sarcopenia was still independently associated with POD after adjusting for age ≥70 years, preoperative Mini-Mental State Examination score, and intraoperative blood transfusion. The area under the ROC curve of preoperative sarcopenia in predicting POD was 0.680 (95% confidence interval 0.557–0.804).ConclusionPreoperative sarcopenia defined by ISarcoPRM criteria was independently associated with POD in geriatric patients after gastrointestinal cancer surgery.

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Association between Preoperative Hand Grip Strength and Postoperative Delirium after Cardiovascular Surgery: A Retrospective Study

Cited by 3 publications

References 23 publications

Grip Strength is a Predictor for Subsyndromal Delirium Among Older Adults Following Joint Replacement

Grip Strength is a Predictor for Subsyndromal Delirium Among Older Adults Following Joint Replacement

Association between delirium and grip strength in ICU patients for cardiac surgery (D-GRIP study)

Association between preoperative sarcopenia and postoperative delirium in older patients undergoing gastrointestinal cancer surgery

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