杉本 研
   Department     ,
   Position  
Article types 原著
Language English
Peer review Peer reviewed
Title Comprehensive Geriatric Assessment is a useful predictive tool for postoperative delirium after gastrointestinal surgery in old-old adults.
Journal Formal name:Geriatrics & gerontology international
Abbreviation:Geriatr Gerontol Int
ISSN code:14470594/14470594
Domestic / ForeginForegin
Volume, Issue, Page 16(9),1036-1042頁
Author and coauthor Maekawa Yoshihiro, Sugimoto Ken, Yamasaki Makoto, Takeya Yasushi, Yamamoto Koichi, Ohishi Mitsuru, Ogihara Toshio, Shintani Ayumi, Doki Yuichiro, Mori Masaki, Rakugi Hiromi
Publication date 2016/09
Summary AIM:To determine whether carrying out the Comprehensive Geriatric Assessment before operations would be useful for predicting complications, particularly postoperative delirium (POD), in old-old patients.METHODS:A total of 517 patients aged 75 years and older, who underwent radical surgery for gastrointestinal cancer at Osaka University Hospital, were recruited for this observational study. The Comprehensive Geriatric Assessment components and assessment of performance status were carried out before surgery, and a record of postoperative complications including POD was made prospectively until discharge from hospital. The following morphological and clinical measurements were also obtained from the medical records: age, sex, disease type, previous history, comorbid lifestyle-related diseases, POD, postoperative complications, operative method, duration of operation, hemorrhage volume, blood transfusion volume, method of anesthesia, body mass index and blood tests.RESULTS:POD appeared in 24.0% of the 517 patients who underwent surgery. Barthel Index, Mini-Mental State Examination, instrumental activities of daily living and Geriatric Depression Scale results were associated with the incidence of POD, and the Barthel Index, Mini-Mental State Examination and Instrumental Activities of Daily Living results were extracted as independent factors associated with the development of POD after adjusting for traditional risk factors for postoperative complications and performance status.CONCLUSIONS:The Comprehensive Geriatric Assessment before gastrointestinal surgery can be a useful tool for predicting the development of POD in old-old patients. Geriatr Gerontol Int 2016; 16: 1036-1042.
DOI 10.1111/ggi.12587
PMID 26311242