The impact of geriatric problems and delirium - risk factors in surgical medicine - A prospective observational study

Conditions

F05 F05.1 F05.8 F05.9

Henriette Möllmann, Eman Alhammadi, Soufian Boulghoudan, Julian Kuhlmann, Anica Mevissen et al. (8 authors)

JMIR Research Protocols2025-01-222 citations

10.2196/59203

Risk of sarcopenia, frailty and malnutrition as predictors of postoperative delirium in surgery

Henriette L. Moellmann, Eman Alhammadi, Soufian Boulghoudan, Julian Kuhlmann, Anica Mevissen et al. (8 authors)

BMC Geriatrics2024-11-2712 citations

10.1186/s12877-024-05566-1

Comprehensive geriatric assessment for predicting postoperative delirium in oral and maxillofacial surgery: a prospective cohort study

Eman Alhammadi, Julian Kuhlmann, Majeed Rana, Helmut Frohnhofen, Henriette L. Moellmann et al. (10 authors)

Scientific Reports2024-11-113 citations

10.1038/s41598-024-78940-z

Interventions

Group 1: Geriatric assessment on admission, delirium screening during the course of hospitalisation, telephone survey of health status 3,6, and 12 months after discharge (by telephone). Preoperative:

Eligibility

Sex/Gender

All

Age

70 Years to 110 Years

Inclusion criteria

Inclusion criteria: Elective or emergency inpatient admission with surgical intervention of patients of the Clinic for Trauma Surgery and Orthopaedics, Vascular Surgery Clinic and Clinic for Oral and Maxillofacial Facial Plastic Surgery Age >70 years Consent of the patient/carer

Exclusion criteria

Exclusion criteria: No consent to participate Unstable clinical situation Patients requiring palliative care Very advanced dementia (Reisberg VI-VII)

Design outcomes

Primary

Measure	Time frame
The aim of the work is to determine the frequency and risk factors for periooperative delirium in patients after surgical treatment in the Clinic for Orthopaedics and Trauma Surgery, in the Clinic for Vascular and Endovascular Surgery and in the Clinic for Oral and Maxillofacial and Plastic Facial Surgery at the University Hospital Düsseldorf in the intensive care unit and normal ward and to analyse them.	—

Measure

Time frame

The aim of the work is to determine the frequency and risk factors for periooperative delirium in patients after surgical treatment in the Clinic for Orthopaedics and Trauma Surgery, in the Clinic for Vascular and Endovascular Surgery and in the Clinic for Oral and Maxillofacial and Plastic Facial Surgery at the University Hospital Düsseldorf in the intensive care unit and normal ward and to analyse them.

—

Secondary

Measure	Time frame
The regular recording of dementia, the need for assistance in everyday life or the accumulation of several accumulation of several diseases by means of geriatric screening to determine the need for geriatric care needs is practically not established. Co-morbid geriatric problems that lead to functional limitations are therefore often overlooked, although they represent a major social and economic problem. This also raises question whether parameters of a geriatric assessment are associated with the incidence of delirium. are associated with the incidence of delirium, how comprehensive such a perioperative geriatric assessment and whether the management of detected geriatric problems can reduce the incidence of delirium. the incidence of delirium can be reduced.	—

Measure

Time frame

The regular recording of dementia, the need for assistance in everyday life or the accumulation of several accumulation of several diseases by means of geriatric screening to determine the need for geriatric care needs is practically not established. Co-morbid geriatric problems that lead to functional limitations are therefore often overlooked, although they represent a major social and economic problem. This also raises question whether parameters of a geriatric assessment are associated with the incidence of delirium. are associated with the incidence of delirium, how comprehensive such a perioperative geriatric assessment and whether the management of detected geriatric problems can reduce the incidence of delirium. the incidence of delirium can be reduced.

—

Countries

Germany

Contacts

Public ContactHelmut Frohnhofen

Klinik für Orthopädie und Unfallchirurgie, Uniklinikum Düsseldorf

h.frohnhofen@med.uni-duesseldorf.de0211-81-07896

Outcome results

None listed