The Effect of Nutritional Status of Patients Undergoing Open-Heart Surgery on The Development Postoperative Delirium
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Recognising Delirium
研究概览
简要总结
Malnutrition is a prevalent issue among patients undergoing cardiac surgery. This can lead to delirium risk factors, including postoperative functional and cognitive impairment. Assessing the patient's nutritional status before open-heart surgery may decrease the incidence of delirium and the psychological and physiological problems associated with it. The objective of this study was to examine the relationship between nutritional status and the incidence of postoperative delirium in patients who have undergone open-heart surgery.
详细描述
Upon examining the literature, it was found that the incidence of delirium after open heart surgery ranged from 3% to 70% (Tomakin et al., 2020). Postoperative delirium has numerous risk factors, including predisposing and accelerating factors. Predisposing risk factors comprise malnutrition and electrolyte imbalance, cognitive impairment, depression, and other psychiatric disorders such as dementia (Velayati et al., 2019; Wilson et al., 2020). This study aims to investigate the relationship between the nutritional status of patients undergoing open heart surgery and the development of postoperative delirium. The study will be conducted in the Cardiovascular Surgery Intensive Care Unit of Bursa Uludag University Health Application and Research Centre Hospital between September 2023 and February 2024. Data will be collected using the Personal Information Form, Nutritional Risk Screening Score 2002 (NRS-2002), Delirium Risk Assessment Form, Visual Analogue Scale for Pain Levels, Richmond Agitation Sedation Scale, Glasgow Coma Scale, and Confusion Assessment Scale in Intensive Care Unit.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Over 18 years old
- •Having undergone open heart surgery
- •No mental deficiency and visual and hearing impairment
- •No psychiatric diagnosis and no medication for this purpose
- •Participants' acceptance to participate in the research
- •The patient is not in coma (RASS score between -3 and +4, GCS score of 10 and above)
排除标准
- •Open heart surgery under emergency conditions
- •Diagnosed with delirium, dementia, psychiatric illness before surgery
- •Alcohol and drug addiction
- •Dying in the intensive care unit within 24 hours
结局指标
主要结局
Recognising Delirium
时间窗: 6 months
Recognising delirium in malnourished patients prior to open heart surgery
次要结局
未报告次要终点
研究者
Kubra Gunes
RN, MSc
Uludag University