{"title":"Geriatric nutritional risk index predicts postoperative delirium in elderly: A meta-analysis.","authors":"Siye Xie, Qi Wu","doi":"10.15537/smj.2024.45.9.20240216","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To review current evidence on using the geriatric nutritional risk index (GNRI) in predicting postoperative delirium (POD) in elderly patients.</p><p><strong>Methods: </strong>The literature search was performed in core databases to include all the cohort studies on the association between GNRI and risk of POD for further meta-analysis.</p><p><strong>Results: </strong>A total of 6 studies with 4242 patients underwent this meta-analysis, which showed that the risk of POD was higher in patients with moderate and high GNRI than the ones with low GNRI (odds ratio [OR]=2.04, 95% confidence interval [CI] [1.58, 2.64], <i>p</i><0.001), and moderate and high GNRI significantly increased the risk of POD in patients of 60 to 75 years or above [OR=1.98, 95%CI (1.49, 2.62), <i>p</i><0.001; OR=2.79, 95%CI (1.38, 5.64), <i>p</i>=0.004, respectively].</p><p><strong>Conclusion: </strong>Therefore, moderate and high GNRI increased the risk of POD in elderly patients.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376695/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Saudi Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.15537/smj.2024.45.9.20240216","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To review current evidence on using the geriatric nutritional risk index (GNRI) in predicting postoperative delirium (POD) in elderly patients.
Methods: The literature search was performed in core databases to include all the cohort studies on the association between GNRI and risk of POD for further meta-analysis.
Results: A total of 6 studies with 4242 patients underwent this meta-analysis, which showed that the risk of POD was higher in patients with moderate and high GNRI than the ones with low GNRI (odds ratio [OR]=2.04, 95% confidence interval [CI] [1.58, 2.64], p<0.001), and moderate and high GNRI significantly increased the risk of POD in patients of 60 to 75 years or above [OR=1.98, 95%CI (1.49, 2.62), p<0.001; OR=2.79, 95%CI (1.38, 5.64), p=0.004, respectively].
Conclusion: Therefore, moderate and high GNRI increased the risk of POD in elderly patients.
目的回顾利用老年营养风险指数（GNRI）预测老年患者术后谵妄（POD）的现有证据：方法：在核心数据库中进行文献检索，纳入所有关于 GNRI 与 POD 风险之间关系的队列研究，以便进一步进行荟萃分析：结果：共有6项研究对4242名患者进行了荟萃分析，结果显示，中度和高度GNRI患者的POD风险高于低GNRI患者（几率比[OR]=2.04，95%置信区间[CI][1.58，2.64]，ppp=0.004）：因此，中度和高度 GNRI 会增加老年患者发生 POD 的风险。
期刊介绍：
The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license.
The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.
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