Itinai.com biomedical laboratory close up still scene close u fd75bc8f 7c64 495f bcb3 944db9509d75 2
Itinai.com biomedical laboratory close up still scene close u fd75bc8f 7c64 495f bcb3 944db9509d75 2

Association Between Plasma Amyloid-Beta 42 Ratio and Postoperative Delirium in Elderly Patients Undergoing Major Abdominal Surgery: Secondary Analysis of a Randomized Controlled Trial

Introduction

Cerebrospinal fluid Aβ42 may indicate brain issues and is linked to delirium. This study looks at how changes in blood Aβ42 levels after surgery relate to the risk of delirium in older patients.

Methods

This study analyzed data from a trial comparing acupuncture to standard care for preventing delirium in patients undergoing major abdominal surgery. Blood samples were taken from participants, and the Aβ42 ratio was calculated by comparing levels after surgery to those before surgery. The main goal was to see if patients experienced delirium within a week after surgery. Delirium severity was also measured.

Results

A total of 195 patients were included, with an average age of 70.2 years. Out of these, 26 patients (13.3%) experienced postoperative delirium. Higher Aβ42 levels after surgery were linked to a greater risk of delirium (3.21 times higher risk) and more severe delirium symptoms. The study found a clear relationship between Aβ42 levels and delirium risk. The Aβ42 ratio could help identify patients at risk for delirium after surgery.

Conclusions

This study suggests that monitoring Aβ42 levels in the blood may help predict and manage the risk of delirium in elderly patients after major surgery.

Practical Healthcare Solutions

Define Measurable Outcomes

Set clear goals to monitor the association between Aβ42 levels and delirium in elderly patients undergoing surgery.

Select AI Tools That Fit Clinical Needs

Choose AI solutions that can assist in tracking Aβ42 levels and predicting delirium risk effectively.

Implement Step by Step and Expand

Start with a pilot project to test the effectiveness of monitoring Aβ42 levels and track results to understand real-world impacts.

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