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在口腔和面外科手术中预测术后痴呆症的综合老年学评估:一项前性队列研究

Eman Alhammadi1,2, Julian Max Kuhlmann3, Majeed Rana1

  • 1Cranio-and-Maxillo Facial Surgery, University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.

Scientific reports
|November 11, 2024
PubMed

识别术后谵妄（POD）高危患者对于通过专科相关的老年医学评估优化医疗领域的人力与经济资源至关重要，此类评估有助于制定术前康复策略。本研究旨在确定可用于预测术前谵妄的老年筛查工具，并探讨接受口腔颌面外科手术的高危老年患者。研究采用包含23项工具的综合老年评估方法，对接受全身麻醉手术的住院患者在术前及术后进行评估。同时分析了部分术中及术后变量与POD发生之间的关联。本项前瞻性研究纳入了2022年8月至2023年8月期间的90例患者（平均年龄79.0岁），该队列中POD发生率为8.9%（n = 8）。画钟测验（CDT）与POD发生显著相关（p = 0.005）。POD发生与手术类型（p = 0.018）、手术时长（p = 0.026）、住院时长（p = 0.002）以及术后血红蛋白水平（p = 0.027）之间亦存在显著关联。本研究强调了综合老年评估在预测老年患者POD中的重要性。未来研究应在此基础上进一步优化术前管理策略，以改善临床结局。试验注册：德国临床研究注册中心，DRKS编号 DRKS00028614。

关键词:
时钟绘制测试试图的时间.老年病人的评估.口面部手术 口面部手术在手术后出现的妄想症.这是一个前性的前景.

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