抓握强度作为一种简单的方法来预测老年人下肢手术后的术后妄想:一个前性的诊断评估
Hyo Sung Kim1, Seok Kyeong Oh1, Young Sung Kim1
1Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Anesthesia and pain medicine
|February 10, 2026
概括
低握力 (GS) 是经过下肢手术的老年患者手术后妄想症 (POD) 的重要预测因素. 这种简单的查工具可以帮助识别有风险的个体,以获得更好的患者结果.
科学领域:
- 老年医学 老年医学
- 外科手术的结果
- 诊断查 诊断查 诊断查
背景情况:
- 抓握强度 (GS) 随着年龄的增长而下降,这表明了sarcopenia和脆弱性,这增加了术后狂妄症 (POD) 的风险.
- 在接受下肢手术的老年患者中评估脆弱性是很困难的,因为运动能力有限.
- 调查像GS这样的简单选工具对于POD预测至关重要.
研究的目的:
- 为了确定手术前握力 (GS) 是否独立预测下肢手术的老年患者的手术后妄 (POD).
- 确定在韩国人群中为POD预测定义低GS的最合适的标准.
主要方法:
- 对150名年龄≥65岁的患者进行前性研究,这些患者接受了下肢手术.
- 通过使用亚洲肉症工作组 (AWGS) 标准和其他标准测量了手术前握力 (GS) 和诊断了肉症.
- 使用重症监护室的混评估方法评估术后妄想 (POD);进行了后勤回归和ROC曲线分析.
主要成果:
- 手术后妄 (POD) 发生在11.3%的患者中;17名POD患者中有13名手握强度 (GS) 较低.
- 亚洲肉症工作组 (AWGS) 的标准显示,低GS的预测准确度最高 (AUC = 0.796).
- 低握力 (GS) 是POD的唯一独立预测因素 (OR = 15.543,P < 0.001),优于其他临床变量.
结论:
- 握力 (GS) 是一个简单可靠的,独立预测术后妄想 (POD) 的指标.
- 术前GS评估可以帮助识别下肢手术后POD风险较高的老年患者.
相关概念视频
01:30Heart Failure IV: Classification and Diagnostic Evaluation
428
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
428
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
458
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
458
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
889
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
889
03:05Acid Strength and Molecular Structure
33.2K
Binary Acids and Bases
In the absence of any leveling effect, the acid strength of binary compounds of hydrogen with nonmetals (A) increases as the H-A bond strength decreases down a group in the periodic table. For group 17, the order of increasing acidity is HF < HCl < HBr < HI. Likewise, for group 16, the order of increasing acid strength is H2O < H2S < H2Se < H2Te. Across a row in the periodic table, the acid strength of binary hydrogen compounds increases with increasing...
In the absence of any leveling effect, the acid strength of binary compounds of hydrogen with nonmetals (A) increases as the H-A bond strength decreases down a group in the periodic table. For group 17, the order of increasing acidity is HF < HCl < HBr < HI. Likewise, for group 16, the order of increasing acid strength is H2O < H2S < H2Se < H2Te. Across a row in the periodic table, the acid strength of binary hydrogen compounds increases with increasing...
33.2K
02:27Predicting Molecular Geometry
46.1K
VSEPR Theory for Determination of Electron Pair Geometries
46.1K
01:20Strength of Cement
539
Strength tests for cement are not performed directly on neat cement paste due to difficulty in obtaining consistent, reliable specimens. Instead, cement is typically tested in the form of cement-sand mortar.
For compressive strength tests, ASTM C 109-05 standards prescribe a cement-sand mix ratio of 1:2.75 and a water/cement ratio of 0.485 for making 2-inch cubes. These cubes are mixed, cast, and cured in saturated lime water at 23°C until testing. Flexural strength testing, outlined in...
For compressive strength tests, ASTM C 109-05 standards prescribe a cement-sand mix ratio of 1:2.75 and a water/cement ratio of 0.485 for making 2-inch cubes. These cubes are mixed, cast, and cured in saturated lime water at 23°C until testing. Flexural strength testing, outlined in...
539