WEKO3
アイテム
Impact of prognostic nutritional index on the occurrence of post-operative delirium after total knee arthroplasty
http://hdl.handle.net/10271/0002000729
http://hdl.handle.net/10271/0002000729ce21841e-d0ba-4308-a6c4-962a259d0c06
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
論文本文 (395 KB)
|
.png)
|
| アイテムタイプ | アイテムタイプ_T/itemType_T(1) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2026-04-07 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Impact of prognostic nutritional index on the occurrence of post-operative delirium after total knee arthroplasty | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| その他のタイトル | ||||||||||||
| その他のタイトル | 予後栄養指数が人工膝関節全置換術後のせん妄発生に与える影響 | |||||||||||
| キーワード | ||||||||||||
| 主題 | Total knee arthroplasty | |||||||||||
| キーワード | ||||||||||||
| 主題 | Delirium | |||||||||||
| キーワード | ||||||||||||
| 主題 | Prognostic nutritional index | |||||||||||
| キーワード | ||||||||||||
| 主題 | Cutoff value | |||||||||||
| キーワード | ||||||||||||
| 主題 | Malnutrition | |||||||||||
| キーワード | ||||||||||||
| 主題 | Risk factors | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||||
| 資源タイプ | doctoral thesis | |||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||
| 著者 |
堀田, 健介
× 堀田, 健介
|
|||||||||||
| 書誌情報 |
en : Journal of Joint Surgery and Research 巻 2, 号 2, p. 71-76, 発行日 2024-05-18 |
|||||||||||
| 出版者 | ||||||||||||
| 出版者 | Elsevier | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | 日本股関節学会, 日本人工関節学会, 日本膝関節学会 | |||||||||||
| 権利情報 | ||||||||||||
| 権利情報Resource | https://creativecommons.org/licenses/by/4.0/ | |||||||||||
| 権利情報 | © 2024 The Author(s). Published by Elsevier B.V. on behalf of The Japanese Hip Society, The Japanese Society for Replacement Arthroplasty and The Japanese Knee Society. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). | |||||||||||
| 抄録 | ||||||||||||
| 内容記述 | Purpose: Delirium has been reported to cause delayed functional recovery, prolonged hospitalization, future institutionalization, increased mortality, and increased healthcare costs. However, there are no reports on how prognostic nutritional index (PNI), Controlling Nutritional Status (CONUT) score, and geriatric nutritional risk index (GNRI) are related to delirium after total knee arthroplasty (TKA). This study aimed to identify risk factors for post-operative delirium after TKA using various pre-operative nutritional assessments (PNI, CONUT score, and GNRI). Methods: In total, 289 patients who underwent primary TKA between September 2011 and April 2022 in our institute (Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan) were enrolled. Patients were divided into two groups: those who developed post-operative delirium (Group D), and those who did not (Group ND). Pre-operative risk factors, including nutritional indices, for post-operative delirium were evaluated. Results: Group D comprised 16 participants, while Group ND comprised 273 participants. Comparisons between the two groups revealed significant differences in age, PNI, CONUT score, GNRI, and history of cerebrovascular disease. Multiple logistic regression analysis revealed that significant risk factors for delirium after TKA were age, PNI, and history of cerebrovascular disease. A receiver operating characteristic curve indicated that the cutoff values for delirium were 47.4 for PNI (sensitivity, 0.810; specificity, 0.875) and 78.5 years for age (sensitivity, 0.813; specificity, 0.722). Conclusions: Risk factors for post-operative delirium after TKA were PNI<47.4, age>78.5 years, and history of cerebrovascular disease. Patients exceeding these pre-operative cutoff values or with a history of cerebrovascular disease should receive counseling about delirium before surgery. |
|||||||||||
| 学位名 | ||||||||||||
| 学位名 | 博士（医学） | |||||||||||
| 学位の区分 | ||||||||||||
| 内容記述 | doctoral | |||||||||||
| 学位の分野 | ||||||||||||
| 内容記述 | 医学系研究科 | |||||||||||
| 学位授与機関 | ||||||||||||
| 学位授与機関名 | 浜松医科大学 | |||||||||||
| 学位授与機関名 | Hamamatsu University School of Medicine | |||||||||||
| 学位授与年月日 | ||||||||||||
| 学位授与年月日 | 2025-04-18 | |||||||||||
| 学位授与番号 | ||||||||||||
| 学位授与番号 | 乙第614号 | |||||||||||
| EISSN | ||||||||||||
| 収録物識別子 | 2949-7051 | |||||||||||
| 医中誌論文ID (ICHUSHI) | ||||||||||||
| 関連識別子 | 2025236707 | |||||||||||
| 出版社DOI | ||||||||||||
| 関連識別子 | https://doi.org/10.1016/j.jjoisr.2024.04.004 | |||||||||||
| 要旨⇔論文へのリンク | ||||||||||||
| 関連識別子 | http://hdl.handle.net/10271/0002000414 | |||||||||||
| 関連名称 | 学位論文要旨 | |||||||||||
| 出版タイプ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
