https://scholars.lib.ntu.edu.tw/handle/123456789/477423
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | CHERYL CHIA-HUI CHEN | en_US |
dc.contributor.author | MING-TSAN LIN | en_US |
dc.contributor.author | JIN-TUNG LIANG | en_US |
dc.contributor.author | Chen C.-M. | en_US |
dc.contributor.author | CHUNG-JEN YEN | en_US |
dc.contributor.author | Huang G.-H. | en_US |
dc.creator | Chen C.C.-H.;Ming-Tsan Lin;Liang J.-T.;Chen C.-M.;Yen C.-J.;Huang G.-H. | - |
dc.date.accessioned | 2020-03-23T04:00:51Z | - |
dc.date.available | 2020-03-23T04:00:51Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 1091-255X | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928668953&doi=10.1007%2fs11605-015-2760-0&partnerID=40&md5=06515f624c19bd9e7f26942ccef0c216 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/477423 | - |
dc.description.abstract | Objective: We sought to identify and evaluate red flags for pre-surgical geriatric conditions (geriatric syndromes, frailty, and risks for postoperative delirium) in older patients undergoing gastrointestinal surgery. Methods: Older individuals (?65?years) undergoing major elective gastrointestinal surgery from 2009 to 2012 were enrolled and assessed preoperatively. Results: Participants (N = 379; mean age = 74.5 ± 5.9?years) primarily underwent colorectal (54.3?%), gastric (21.9?%), and pancreatobiliary (12.6?%) surgery. Overall, 30.9?% had existing geriatric syndromes, 26.7?% were frail, and 22.8?% had >3 risk factors for postoperative delirium. The largest proportion (45.7?%) presented with at least one geriatric condition. Patients with or without geriatric conditions were discriminated with adequate sensitivity (67?%), specificity (84?%), and positive predictive value (77?%) by eight red flags: age ?75?years (OR, 2.86; P < 0.001), eating soft food (OR, 3.63; P = 0.001), reported hypertension (OR, 2.8; P = 0.001), weight loss >3?kg (OR, 4.79; P < 0.001), fair-to-weak grip strength (OR, 2.53; P = 0.001), sleeplessness (OR, 2.57; P = 0.001), no-better-than-peer perceived health (OR, 1.88; P = 0.022), and short-term inability to recall two of three common words (OR, 1.81; P = 0.025). Conclusions: Eight red flags covered as part of history and physical examination are well suited to screen patients for geriatric conditions indicating the need for preoperative geriatric assessments and optimization. ? 2015, The Society for Surgery of the Alimentary Tract. | - |
dc.publisher | Springer New York LLC | - |
dc.relation.ispartof | Journal of Gastrointestinal Surgery | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | abdominal surgery; adverse effects; aged; delirium; elective surgery; female; frail elderly; geriatric assessment; human; male; Postoperative Complications; prevalence; risk assessment; syndrome; Aged; Delirium; Digestive System Surgical Procedures; Elective Surgical Procedures; Female; Frail Elderly; Geriatric Assessment; Humans; Male; Postoperative Complications; Prevalence; Risk Assessment; Syndrome | - |
dc.title | Pre-surgical Geriatric Syndromes, Frailty, and Risks for Postoperative Delirium in Older Patients Undergoing Gastrointestinal Surgery: Prevalence and Red Flags | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1007/s11605-015-2760-0 | - |
dc.identifier.pmid | 25650167 | - |
dc.identifier.scopus | 2-s2.0-84928668953 | - |
dc.relation.pages | 927-934 | - |
dc.relation.journalvolume | 19 | - |
dc.relation.journalissue | 5 | - |
item.fulltext | no fulltext | - |
item.openairetype | journal article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
crisitem.author.dept | School of Nursing | - |
crisitem.author.dept | Nursing-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Geriatrics and Gerontology-NTUH | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.orcid | 0000-0001-9927-6215 | - |
crisitem.author.orcid | 0000-0001-7313-7057 | - |
crisitem.author.orcid | 0000-0002-0264-7735 | - |
crisitem.author.orcid | 0000-0001-5372-3657 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學系 |
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