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Jonsson, F., Olofsson, B., Söderberg, S. & Niklasson, J. (2024). Association between the COVID-19 pandemic and mental health in very old people in Sweden. PLOS ONE, 19(4), Article ID e0299098.
Öppna denna publikation i ny flik eller fönster >>Association between the COVID-19 pandemic and mental health in very old people in Sweden
2024 (Engelska)Ingår i: PLOS ONE, E-ISSN 1932-6203, Vol. 19, nr 4, artikel-id e0299098Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: During the COVID-19 pandemic, Sweden implemented social distancing measures to reduce infection rates. However, the recommendation meant to protect individuals particularly at risk may have had negative consequences. The aim of this study was to investigate the impact of the COVID-19 pandemic on very old Swedish peoples' mental health and factors associated with a decline in mental health.

Methods: We conducted a cross-sectional study among previous participants of the SilverMONICA (MONItoring of Trends and Determinants of CArdiovascular disease) study. Of 394 eligible participants, 257 (65.2%) agreed to participate. Of these, 250 individuals reported mental health impact from COVID-19. Structured telephone interviews were carried out during the spring of 2021. Data were analysed using the χ2 test, t-test, and binary logistic regression.

Results: Of 250 individuals (mean age: 85.5 ± 3.3 years, 54.0% women), 75 (30.0%) reported a negative impact on mental health, while 175 (70.0%) reported either a positive impact (n = 4) or no impact at all (n = 171). In the binary logistic regression model, factors associated with a decline in mental health included loneliness (odds ratio [95% confidence interval]) (3.87 [1.83-8.17]) and difficulty adhering to social distancing recommendations (5.10 [1.92-13.53]). High morale was associated with positive or no impact on mental health (0.37 [0.17-0.82]).

Conclusions: A high percentage of very old people reported a negative impact on mental health from the COVID-19 pandemic, primarily from loneliness and difficulty adhering to social distancing measures, while high morale seemed to be a protective factor.

Ort, förlag, år, upplaga, sidor
Public Library of Science (PLoS), 2024
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-223268 (URN)10.1371/journal.pone.0299098 (DOI)38564616 (PubMedID)2-s2.0-85189507899 (Scopus ID)
Forskningsfinansiär
Umeå universitet
Tillgänglig från: 2024-04-17 Skapad: 2024-04-17 Senast uppdaterad: 2024-04-17Bibliografiskt granskad
Bergfrid, M., Gustafson, Y., Littbrand, H., Olofsson, B. & Weidung, B. (2024). Having plans for the future in very old people. The International Journal of Aging & Human Development
Öppna denna publikation i ny flik eller fönster >>Having plans for the future in very old people
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2024 (Engelska)Ingår i: The International Journal of Aging & Human Development, ISSN 0091-4150, E-ISSN 1541-3535Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

This study aimed to investigate the prevalence of having plans for the future among very old people and the factors associated with having such plans. A longitudinal population-based study with home visits for 85-, 90-, and ≥95-year-old participants in Sweden and Finland was used. Multivariate logistic regression and Cox proportional-hazards regression models with a maximum 5-year follow-up period were used. The prevalence of having plans for the future was 18.6% (174/936). More men than women and more people living in Sweden than in Finland had plans for the future. In multivariate models, having plans for the future was associated with speaking Swedish, being dentate, and living in the community in the total sample; speaking Swedish and being dentate among women; and speaking Swedish, having a lower Geriatric Depression Scale score, and urban residence among men. Having plans for the future was associated univariately, but not multivariately, with increased survival.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2024
Nyckelord
aged 80 and over, future perception, gerontology, optimism, plans for the future, survival
Nationell ämneskategori
Gerontologi, medicinsk/hälsovetenskaplig inriktning Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-221560 (URN)10.1177/00914150241231189 (DOI)001159569300001 ()38342991 (PubMedID)2-s2.0-85185275774 (Scopus ID)
Forskningsfinansiär
Umeå universitetDemensförbundetVetenskapsrådet, K2014-99X-22610-01-6Visare NorrRegion VästerbottenKonung Gustaf V:s och Drottning Victorias Frimurarestiftelse
Tillgänglig från: 2024-03-05 Skapad: 2024-03-05 Senast uppdaterad: 2024-03-05
Nyberg, A., Olofsson, B., Fagerdahl, A., Haney, M. & Otten, V. T. (2024). Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. BMJ open quality, 13(1), Article ID bmjoq-2022-002182.
Öppna denna publikation i ny flik eller fönster >>Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study
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2024 (Engelska)Ingår i: BMJ open quality, E-ISSN 2399-6641, Vol. 13, nr 1, artikel-id bmjoq-2022-002182Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Patient safety is fundamental when providing care in the operating room. Still, adverse events and errors are a challenge for patient safety worldwide. To avoid preventable patient harm, organisations need a positive safety culture, the measurable component of which is known as the safety climate. To best improve the safety climate the current attitudes to safety must first be understood.

AIM: To explore operating room nurses' safety attitudes and their views on how to improve patient safety in operating rooms.

ETHOD: A cross-sectional study using the Swedish-translated version of the Safety Attitudes Questionnaire, Operating Room version. Data were collected using an online survey platform.

RESULTS: 358 operating room nurses completed the questionnaire. The results show that the older age group rated their working conditions and management support as better than the younger age groups. The older age group also rated their stress recognition as lower compared with the younger age groups. The same pattern was seen in terms of work experience, with more-experienced respondents showing a higher mean score for the factor working conditions and a lower mean score for the factor stress recognition as compared with their less-experienced colleagues. When comparing hospital types, county hospital employees had higher factor scores for safety climate, job satisfaction and working conditions than university hospital employees. The respondents' most recurring recommendations for improving patient safety were 'Having better and clearer communication' followed by 'Having enough time to do things the way they should be done'.

CONCLUSION: More focus on safety with increasing age and experience was observed in this cohort. Need for improvements is reported for patient safety in operating rooms, mainly when it comes to communication and workload. To improve and develop patient safety in the operating room, the organisational safety climate needs to be actively managed and developed. One step in actively managing the safety climate may be efforts to retain experienced operating room nurses.

Ort, förlag, år, upplaga, sidor
BMJ Publishing Group Ltd, 2024
Nyckelord
Attitudes, Nurses, Patient safety, Safety culture, Surgery
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-219813 (URN)10.1136/bmjoq-2022-002182 (DOI)38212132 (PubMedID)2-s2.0-85182094382 (Scopus ID)
Forskningsfinansiär
KempestiftelsernaUmeå universitet
Tillgänglig från: 2024-01-23 Skapad: 2024-01-23 Senast uppdaterad: 2024-01-23Bibliografiskt granskad
Nyberg, A., Jirwe, M., Fagerdahl, A., Otten, V. T., Haney, M. & Olofsson, B. (2024). Perioperative patient safety indicators: a Delphi study. Journal of Clinical Nursing
Öppna denna publikation i ny flik eller fönster >>Perioperative patient safety indicators: a Delphi study
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2024 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: To identify, define and achieve consensus on perioperative patient safety indicators within a Swedish context.

Design: A modified Delphi method.

Methods: A purposeful sample of 22 experts, all experienced operating room nurse specialists, was recruited for this study. A questionnaire was constructed incorporating statements derived from a preceding study. The experts were asked to rate the importance of each statement concerning patient safety during the perioperative phase. The data collection occurred through an online survey platform between November 2022 and April 2023. The CREDES checklist guided the reporting of this study.

Results: The three-round Delphi study resulted in consensus on 73 statements out of 103, encompassing 74% process indicators and 26% structure indicators. Key areas of consensus included the use of the Surgical Safety Checklist and optimizing the operating room environment.

Conclusion: Consensus was reached on perioperative safety indicators, underscoring the intricate challenges involved in ensuring patient safety in the operating room. It emphasizes the important integration of both structure and process indicators for comprehensive safety assessment during surgical procedures. Recognizing the difficulty in measuring factors like teamwork and communication, essential for patient safety, the study offers practical guidance. It underlines a balanced approach and specific consensus areas applicable in clinical practice to enhance perioperative patient safety.

Implications for the profession and patient care:This study provides concrete practice guidance and establishes a structured framework for evaluating perioperative care processes. It emphasizes the critical role of professionals having the necessary skills and being present during surgical procedures. Additionally, the study underscores the paramount importance of effective communication and teamwork within the operating room team, substantively contributing to overall patient safety enhancement.

Impact: The study focused on addressing the challenge of ensuring patient safety in operating rooms, acknowledging the persistent complications related to surgery despite global efforts to eliminate avoidable harm in healthcare. Consensus was reached on 73 crucial indicators for perioperative patient safety, emphasizing a balanced approach integrating both process and structure indicators for a comprehensive assessment of safety during surgical procedures. The study has a broad impact on professionals and healthcare systems, providing concrete guidance for practice and offering a structured process for evaluating perioperative care.

Reporting Method: The study is reported informed by 'Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations derived from a methodological systematic review'.

Patient or Public Contribution: No patient or public contribution.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2024
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-225089 (URN)10.1111/jocn.17212 (DOI)001224563000001 ()38757741 (PubMedID)2-s2.0-85193640680 (Scopus ID)
Forskningsfinansiär
KempestiftelsernaUmeå universitet
Tillgänglig från: 2024-05-27 Skapad: 2024-05-27 Senast uppdaterad: 2024-06-05
Almevall, A., Dahlin Almevall, A., Öhlin, J., Gustafson, Y., Zingmark, K., Niklasson, J., . . . Olofsson, B. (2024). Self-rated health in old age, related factors and survival: A 20-Year longitudinal study within the Silver-MONICA cohort. Archives of gerontology and geriatrics (Print), 122, Article ID 105392.
Öppna denna publikation i ny flik eller fönster >>Self-rated health in old age, related factors and survival: A 20-Year longitudinal study within the Silver-MONICA cohort
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2024 (Engelska)Ingår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 122, artikel-id 105392Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Self-rated health (SRH) offers insights into the evolving health demographics of an ageing population.

Aim: To assess change in SRH from old age to very old age and their associations with health and well-being factors, and to investigate the association between SRH and survival.

Methods: All participants in the MONICA 1999 re-examination born before 1940 (n = 1595) were included in the Silver-MONICA baseline cohort. The Silver-MONICA follow-up started in 2016 included participants in the Silver-MONICA baseline cohort aged 80 years or older. Data on SRH was available for 1561 participants at baseline with 446 of them also participating in the follow-up. The follow-up examination included a wide variety of measurements and tests.

Findings: Most participants rated their health as "Quite good" (54.5 %) at baseline. Over the study period, 42.6 % had stable SRH, 40.6 % had declined, and 16.8 % had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p < 0.05).

Conclusion: This study demonstrates associations between changes in SRH and a multitude of health- and wellbeing-related factors, as well as a relation between survival and SRH, accentuating their relevance within the ageing population.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nyckelord
Aged 80 and over, Aging/psychology, Diagnostic self evaluation, Longitudinal studies, Population characteristics, Self-rated health, Survival analysis
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-222682 (URN)10.1016/j.archger.2024.105392 (DOI)38492492 (PubMedID)2-s2.0-85187986768 (Scopus ID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2016-01074Vetenskapsrådet, K2014-99X-22610-01-6Visare NorrRegion NorrbottenRegion VästerbottenStiftelsen Svenskt demenscentrumStiftelsen Ragnhild och Einar Lundströms MinneSvenska läkaresällskapetKonung Gustaf V:s och Drottning Victorias Frimurarestiftelse
Tillgänglig från: 2024-04-09 Skapad: 2024-04-09 Senast uppdaterad: 2024-07-02Bibliografiskt granskad
Snellman, S., Hörnsten, C., Olofsson, B., Gustafson, Y., Lövheim, H. & Niklasson, J. (2024). Validity and test–retest reliability of the Swedish version of the Geriatric Depression Scale among very old adults. BMC Geriatrics, 24(1), Article ID 261.
Öppna denna publikation i ny flik eller fönster >>Validity and test–retest reliability of the Swedish version of the Geriatric Depression Scale among very old adults
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2024 (Engelska)Ingår i: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, nr 1, artikel-id 261Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The Geriatric Depression Scale (GDS) has shown good validity and reliability, but few studies have examined the GDS among very old adults or the Swedish translation.

Objectives: Evaluate the validity and reliability of the Swedish version of GDS-15 among very old adults.

Methods: In the Umeå85 + /GErontological Regional DAtabase (GERDA) study, 387 participants were assessed with both the GDS-15 and the Montgomery-Åsberg Depression Rating Scale (MADRS). The mean age was 91 years. Concurrent validity between the scales was calculated using Spearman's correlation. We used the Diagnostic and Statistical Manual of Mental Disorders (DSM) V symptom criteria for depression based on MADRS item scores to define depression. We calculated the Area Under the Curve (AUC) and found an optimal cut-off. A convenience sample with 60 individuals was used to calculate test–retest reliability with Cohen’s kappa and Intraclass Correlation Coefficient (ICC).

Results: Spearman's correlation coefficients between total scores for GDS-15 and MADRS were 0.60. Cronbach's alpha for the whole scale was 0.73. The AUC was 0.90 for distinguishing major depression, and the recommended cut-off of ≥ 5 showed a sensitivity of 95.2% and specificity of 65.8%. The test–retest showed that Cohen’s kappa was substantial (0.71) and the ICC was excellent (0.95).

Conclusions: The Swedish version of the GDS-15 showed good validity and reliability among very old adults. The generally recommended cut-off of ≥ 5 seems reasonable to use with the Swedish version and among very old adults.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2024
Nyckelord
Aged 80 and over, Depression, Psychiatric status rating scales, Psychometrics, ROC curve
Nationell ämneskategori
Geriatrik Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-222888 (URN)10.1186/s12877-024-04869-7 (DOI)001187389700003 ()38500031 (PubMedID)2-s2.0-85188072998 (Scopus ID)
Forskningsfinansiär
Vetenskapsrådet, K2014– 99X-22610–01–6Region VästerbottenRegion NorrbottenDemensförbundet
Tillgänglig från: 2024-04-08 Skapad: 2024-04-08 Senast uppdaterad: 2024-07-04Bibliografiskt granskad
Lindelöf, N., Nilsson, I., Littbrand, H., Gustafson, Y., Olofsson, B. & Fjellman-Wiklund, A. (2023). A focus groups study of staff team experiences of providing interdisciplinary rehabilitation for people with dementia and their caregivers: a co-creative journey. BMC Geriatrics, 23(1), Article ID 572.
Öppna denna publikation i ny flik eller fönster >>A focus groups study of staff team experiences of providing interdisciplinary rehabilitation for people with dementia and their caregivers: a co-creative journey
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2023 (Engelska)Ingår i: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, nr 1, artikel-id 572Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The World Health Organization claims that rehabilitation is important to meet the needs of persons with dementia. Rehabilitation programmes, however, are not routinely available. Person-centred, multidimensional, and interdisciplinary rehabilitation can increase the opportunities for older adults with dementia and their informal primary caregivers to continue to live an active life and participate in society. To our knowledge, staff team experiences of such rehabilitation programmes, involving older adults with dementia and their informal caregivers has not been previously explored.

Methods: The aim of this qualitative focus group study was to explore the experiences of a comprehensive staff team providing person-centred multidimensional, interdisciplinary rehabilitation to community-dwelling older adults with dementia, including education and support for informal primary caregivers. The 13 staff team members comprised 10 professions who, during a 16-week intervention period, provided individualised interventions while involving the rehabilitation participants. After the rehabilitation period the staff team members were divided in two focus groups who met on three occasions each (in total six focus groups) and discussed their experiences. The Grounded Theory method was used for data collection and analysis.

Results: The analysis resulted in four categories: Achieving involvement in rehabilitation is challenging, Considering various realities by acting as a link, Offering time and continuity create added value, and Creating a holistic view through knowledge exchange, and the core category: Refining a co-creative process towards making a difference. The core category resembles the collaboration that the staff had within their teams, which included participants with dementia and caregivers, and with the goal that the intervention should make a difference for the participants. This was conducted with flexibility in a collaborative and creative process.

Conclusions: The staff team perceived that by working in comprehensive teams they could provide individualised rehabilitation in creative collaboration with the participants through interaction, knowledge exchange, time and continuity, coordination and flexibility, and a holistic view. Challenges to overcome were the involvement of the person with dementia in goal setting and the mediating role of the staff team members. The staff pointed out that by refinement they could achieve well-functioning, competence-enhancing and timesaving teamwork.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Dementia, Experiences, Grounded theory, Informal caregiver, Interdisciplinary health team, Person-centered care, Rehabilitation
Nationell ämneskategori
Omvårdnad Geriatrik
Identifikatorer
urn:nbn:se:umu:diva-214772 (URN)10.1186/s12877-023-04269-3 (DOI)37723442 (PubMedID)2-s2.0-85171536442 (Scopus ID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2014-0897Stiftelsen PromobiliaDemensförbundetFamiljen Janne Elgqvists StiftelseRegion VästerbottenAlzheimerfondenStiftelsen Ragnhild och Einar Lundströms MinneStiftelsen Gamla Tjänarinnor
Tillgänglig från: 2023-10-18 Skapad: 2023-10-18 Senast uppdaterad: 2024-07-04Bibliografiskt granskad
Olofsson, E., Gustafson, Y., Mukka, S., Tengman, E., Lindgren, L. & Olofsson, B. (2023). Association of depressive disorders and dementia with mortality among older people with hip fracture. BMC Geriatrics, 23(1), Article ID 135.
Öppna denna publikation i ny flik eller fönster >>Association of depressive disorders and dementia with mortality among older people with hip fracture
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2023 (Engelska)Ingår i: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, nr 1, artikel-id 135Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Hip fracture (HF) is a significant cause of mortality among older people. Almost half of the patients with HF have dementia, which increases the mortality risk further. Cognitive impairment is associated with depressive disorders (DDs) and both dementia and DDs are independent risk factors for poor outcome after HF. However, most studies that evaluate mortality risk after HF separate these conditions.

AIMS: To investigate whether dementia with depressive disorders (DDwD) affects the mortality risk at 12, 24, and 36 months after HF among older people.

METHODS: Patients with acute HF (n = 404) were included in this retrospective analysis of two randomized controlled trials performed in orthopedic and geriatric departments. Depressive symptoms were assessed using the Geriatric Depression Scale and cognitive function was assessed using the Mini-Mental State Examination. A consultant geriatrician made final depressive disorder and dementia diagnoses using the Diagnostic and Statistical Manual of Mental Disorders criteria, with support from assessments and medical records. The 12-, 24- and 36-month mortality after HF was analyzed using logistic regression models adjusted for covariates.

RESULTS: In analyses adjusted for age, sex, comorbidity, pre-fracture walking ability, and fracture type, patients with DDwD had increased mortality risks at 12 [odds ratio (OR) 4.67, 95% confidence interval (CI) 1.75-12.51], 24 (OR 3.61, 95% CI 1.71-7.60), and 36 (OR 4.53, 95% CI 2.24-9.14) months. Similar results were obtained for patients with dementia, but not depressive disorders, alone.

CONCLUSION: DDwD is an important risk factor for increased mortality at 12, 24, and 36 months after HF among older people. Routinely assessments after HF for cognitive- and depressive disorders could identify patients at risk for increased mortality, and enable early interventions.

TRIAL REGISTRATION: RCT2: International Standard Randomized Controlled Trial Number Register, trial registration number: ISRCTN15738119.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Dementia, Depressive disorders, Hip fracture, Mortality, Older people
Nationell ämneskategori
Ortopedi Geriatrik
Identifikatorer
urn:nbn:se:umu:diva-205678 (URN)10.1186/s12877-023-03862-w (DOI)000945613200001 ()36890449 (PubMedID)2-s2.0-85149626612 (Scopus ID)
Forskningsfinansiär
VårdalstiftelsenVisare NorrKempestiftelsernaUmeå universitetRegion VästerbottenVetenskapsrådet, K2005‐27VX‐15357‐01A
Tillgänglig från: 2023-03-14 Skapad: 2023-03-14 Senast uppdaterad: 2024-07-04Bibliografiskt granskad
Claesson Lingehall, H., Gustafson, Y., Svenmarker, S., Appelblad, M., Davidsson, F., Holmner, F., . . . Olofsson, B. (2023). Is a hyperosmolar pump prime for cardiopulmonary bypass a risk factor for postoperative delirium?: A double blinded randomised controlled trial. Scandinavian Cardiovascular Journal, 57(1), Article ID 2186326.
Öppna denna publikation i ny flik eller fönster >>Is a hyperosmolar pump prime for cardiopulmonary bypass a risk factor for postoperative delirium?: A double blinded randomised controlled trial
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2023 (Engelska)Ingår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 57, nr 1, artikel-id 2186326Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: Postoperative delirium (POD) is common after cardiac surgery. We have previously identified plasma sodium concentration and the volume of infused fluids during surgery as possible risk factors. Both are linked to the selection and composition of the pump prime used for cardiopulmonary bypass (CPB). Present study aims to examine whether hyperosmolality increases the risk for POD.

Design: Patients ≥65 years (n = 195) scheduled for cardiac surgery were prospectively enrolled into this double blinded randomised clinical trial. Study group received a pump prime containing mannitol and ringer-acetate (966 mOsmol) (n = 98) vs. ringer-acetate (388 mOsmol) (n = 97) in the control group. Postoperative delirium was defined according to DSM-5 criteria based on a test-battery pre- and postoperatively (days 1–3). Plasma osmolality was measured on five occasions and coordinated with the POD assessments. The primary outcome was the POD incidence related to hyperosmolality as the secondary outcome.

Results: The incidence of POD was 36% in the study group and 34% in the control group, without intergroup difference (p=.59). The plasma osmolality was significantly higher in the study group, both on days 1 and 3 and after CPB (p<.001). Post hoc analysis indicated that high osmolality levels increased the risk for delirium on day 1 by 9% (odds ratio (OR) 1.09, 95% CI 1.03–1.15) and by 10% on day 3 (OR 1.10, 95% CI 1.04–1.16).

Conclusions: Use of a prime solution with high osmolality did not increase the incidence of POD. However, the influence of hyperosmolality as a risk factor for POD warrants further investigation.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2023
Nyckelord
Cardiac surgery, cardiopulmonary bypass, delirium, mannitol, osmolality
Nationell ämneskategori
Kardiologi Omvårdnad Kirurgi
Identifikatorer
urn:nbn:se:umu:diva-206772 (URN)10.1080/14017431.2023.2186326 (DOI)000962391200001 ()37009834 (PubMedID)2-s2.0-85151638529 (Scopus ID)
Forskningsfinansiär
Region VästerbottenUmeå universitet
Tillgänglig från: 2023-04-26 Skapad: 2023-04-26 Senast uppdaterad: 2023-04-26Bibliografiskt granskad
Morberg, P., Paradowski, P., Röding, F., Juto, H., Sayed-Noor, A., Knutsson, B., . . . Elmqvist, L.-G. (2023). Ortopedisk forskning vid Umeå universitet. Ortopediskt magasin (1), 22-25
Öppna denna publikation i ny flik eller fönster >>Ortopedisk forskning vid Umeå universitet
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2023 (Svenska)Ingår i: Ortopediskt magasin, nr 1, s. 22-25Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Järna: Svensk ortopedisk förening, 2023
Nationell ämneskategori
Ortopedi
Identifikatorer
urn:nbn:se:umu:diva-223207 (URN)
Tillgänglig från: 2024-04-11 Skapad: 2024-04-11 Senast uppdaterad: 2024-07-02Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-3754-5026

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