Impact of multicomponent, nonpharmacologic interventions on perioperative cortisol and melatonin levels and postoperative delirium in elderly oral cancer patients

Guo, Yong; Sun, Lulu; Li, Li; Jia, Ping; Zhang, Junfeng; Jiang, Hong; Jiang, Wei

doi:10.1016/j.archger.2015.10.009

Cited by 54 publications

(104 citation statements)

References 28 publications

Supporting

Mentioning

104

Contrasting

Order By: Relevance

“…Guo et al . () found a reduced occurrence in delirium in the group receiving MNIs [10/81 (12%) versus 25/79 (31%)] as did Patel et al . (); 55/167 (33%) pre‐intervention compared to 24 of 171 (14%) post‐MNI.…”

Section: Resultsmentioning

confidence: 53%

“…Guo et al . () found that while there were no significant differences in the neurohormone levels preoperatively between the two study groups, postoperative nocturnal urine levels consistently showed statistically significant increases in melatonin and decreases in cortisol in the MNI group compared to the control group, suggesting improved circadian rhythms with use of MNI.…”

Section: Resultsmentioning

confidence: 85%

“…() finding an average of 3·4 days of delirium pre‐intervention to 1·2 days post‐intervention ( p = 0·021), while Guo et al . () reported an average of 28·1 h in the MNI group versus 60·2 h in the control ( p < 0·001).…”

Section: Resultsmentioning

confidence: 94%

“…To assess the efficacy of chronotherapy in maintenance of circadian rhythm, the circadian biomarkers of melatonin and cortisol were tested in two of the studies (Guo et al ., ; Simons et al ., ). Guo et al .…”

Section: Resultsmentioning

confidence: 98%

“…As part of the MNI research, Guo et al . () monitored the patients' Richmond Agitation Sedation Score (RASS) twice daily and asked all patients to complete a 40‐item quality‐of‐recovery score (QoR40). At each time interval measured for 3 days postoperatively, the mean RASS scores were consistently lower in the intervention group ( p < 0·05).…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

The effect of chronotherapy on delirium in critical care – a systematic review

BSc

McLeod

2017

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 53%

Section: Resultsmentioning

confidence: 85%

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The effect of chronotherapy on delirium in critical care – a systematic review

BSc

McLeod

2017

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

Incidence of Postoperative Delirium in Cancer Patients After Head and Neck Surgery: A Proportional Meta‐analysis

Ho,

Li,

Lin

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveTo summarize the incidence of postoperative delirium among cancer patients undergoing head and neck surgery and determine the differential incidence rates among patients undergoing different types of head and neck surgeries.Data SourcesThe databases of PubMed, Cochrane Library, Web of Science, EMBASE, and CINAHL were searched from inception till February 2023. Keywords based on the condition (delirium), context (postoperative), and population (head and neck cancer) were used as search terms.Review MethodsThe PRISMA and MOOSE reporting guidelines were followed. The Joanna Briggs Institute critical appraisal checklists for cohort studies, case‐control studies, and randomized controlled trials were used to evaluate the methodological quality. Data were pooled using a random‐effects model, and the incidence with 95% confidence intervals was evaluated using the exact binomial method and Freeman‐Tukey double arcsine transformation of proportions. I2 was used to indicate heterogeneity. Predefined subgroup analysis and Meta‐regression, was performed to identify the factors affecting heterogeneity.ResultsThe summary incidence of postoperative delirium was 18.95% [95% confidence interval, 14.36%‐24.00%] with between‐study heterogeneity (I2 = 95.46%). The incidence of postoperative delirium in patients who underwent free flap reconstruction was 22.13%, which was higher than those of other types of surgeries. Meta‐regression revealed that conducted in sample size (P = .007) of the included studies was the factors affecting heterogeneity.ConclusionsThe evidence on postoperative delirium incidence provided by the current Meta‐analysis enables effective treatment planning.

show abstract