2018
DOI: 10.1007/s11606-017-4204-x
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Identifying Older Adults at Risk of Delirium Following Elective Surgery: A Systematic Review and Meta-Analysis

Abstract: BackgroundPostoperative delirium is a common preventable complication experienced by older adults undergoing elective surgery. In this systematic review and meta-analysis, we identified prognostic factors associated with the risk of postoperative delirium among older adults undergoing elective surgery.MethodsMedline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and AgeLine were searched for articles published between inception and April 21, 2016. A total of 5692 titles and abstracts were scr… Show more

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Cited by 123 publications
(92 citation statements)
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“…To evaluate construct validity, we measured the association between each HAC-OP and any HAC-OP and 4 shared risk factors identified in previous studies [11][12][13][14][15][16][17][18][19][20][21] : older age (≥75), functional impairment (any ADL impairment at admission), cognitive impairment (admission SPMSQ score <8), and falls in the previous 6 months. Two-by-two tables were used, and the odds of developing each syndrome in the presence of the risk factor were calculated (MedCalc software, https://www.medcalc.org/calc/odds_ratio.php).…”
Section: Statistical Analysesmentioning
confidence: 99%
See 2 more Smart Citations
“…To evaluate construct validity, we measured the association between each HAC-OP and any HAC-OP and 4 shared risk factors identified in previous studies [11][12][13][14][15][16][17][18][19][20][21] : older age (≥75), functional impairment (any ADL impairment at admission), cognitive impairment (admission SPMSQ score <8), and falls in the previous 6 months. Two-by-two tables were used, and the odds of developing each syndrome in the presence of the risk factor were calculated (MedCalc software, https://www.medcalc.org/calc/odds_ratio.php).…”
Section: Statistical Analysesmentioning
confidence: 99%
“…These complications have shared risk factors and are likely to be interdependent . For instance, cognitive impairment is a risk factor for delirium, falls, functional decline, and hospital‐acquired incontinence . Mobility impairment, falls, and gait disturbance are risk factors for delirium, falls, functional decline, pressure injuries, and incontinence, whereas functional impairment is associated with delirium, functional decline, incontinence, and pressure injuries …”
mentioning
confidence: 99%
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“…Similarly, recovery trajectories after a recent disease (eg, influenza, cardiac decompensation, or chronic obstructive pulmonary disease exacerbation) or intervention (eg, hip replacement) may be one of the best available individual predictors of the upcoming recovery trajectory after a highly similar stressor. In a recent systematic review on risk factors for the development of postoperative delirium, history of delirium proved to have the highest odds ratio . While the reliance on past recovery patterns to predict future outcomes still needs to be validated for many stressor‐outcome scenarios, this concept has high face validity.…”
Section: Dynamical Resilience Measurementsmentioning
confidence: 99%
“…In a recent systematic review on risk factors for the development of postoperative delirium, history of delirium proved to have the highest odds ratio. 42 While the reliance on past recovery patterns to predict future outcomes still needs to be validated for many stressor-outcome scenarios, this concept has high face validity. For widespread use, however, it would be crucial that repeated measures of function after a health stressor are carefully documented in clinical care, which is not common practice.…”
Section: Applicability In Clinical Carementioning
confidence: 99%