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Table 1 Characteristics of the included studies

From: The impact of preoperative malnutrition on postoperative delirium: a systematic review and meta-analysis

Study (year)

Patients (n)

Type of surgery

Definitions of malnutrition

Percent malnutrition

Assessment of POD

Percent POD

Crude OR (95% CI)

Adjusted OR (95% CI)

Multivariable adjustment

RingaitienÄ— et al. (2015)

99

CABG

NRS-2002 > 3

24.0

CAM-ICU

8.0

6.316 (1.384–28.819)

6.316 (1.384–28.819)

STS predicted mortality/morbidity

Chu et al. (2016)

544

Orthopedic surgery

MNA-SF < 12

17.5

DSM-IV

9.6

4.63 (2.54–8.44)a

2.85 (1.19–6.87)

Age, male gender, living status, admission route, BMI, IADL, sodium level, Barthel index, CCI, MMSE, GDS-15, type of surgery, time from admission to surgery, blood transfusion during operation, hearing impairment

Mazzola et al. (2017)

415

Hip fracture

MNA-SF ≤ 7

18.8

DSM-IV

29.9

6.3 (3.3–12.2)

3.0 (1.4–6.2)

Age, sex, CCI, ADL, ASA, preoperative cognitive status

Velayati et al. (2019)

398

CABG

NRS-2002 > 3

5.0

CAM-ICU

17.0

1.76 (1.02–3.05)

1.56 (1.20–3.24)

Age, hyperlipidemia, hypertension, vision impairment, creatinine, and sodium level after surgery

van der Wulp et al. (2021)

511

TAVI

Albumin < 3.5 or MNA < 12

26.0

DSM-IV

12.9

1.8 (1.0–3.2)

1.3 (0.6–2.7)

Age, BMI, previous delirium, aortic valve area < 0.75

Sánchez Acedo et al. (2020)

446

Urgent abdominal surgery

MNA-SF ≤ 7

7.0

CAM

13.6

2.54 (1.07–6.00)a

Not reported

Not reported

Zhao et al. (2020)

288

Noncardiac surgery

MNA-SF ≤ 7

14.2

CAM

17.0

6.70 (2.87–15.62)a

4.06 1.62–10.18)

Age, sex, CCI, depression, Barthel index, preoperative pain

  1. Abbreviations: BMI body mass index, CI confidence interval, CABG coronary artery bypass graft, TIVA transcatheter aortic valve implantation, CCI Charlson Comorbidity Index, POD postoperative delirium, CAM Confusion Assessment Method, CAM-ICU Confusion Assessment Method for the Intensive Care Unit, DSM-IV Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, IADL instrumental activities of daily living, GDS-15 15-item Geriatric Depression Scale, ADL activities of daily living, STS Society of Thoracic Surgeons, ASA American Society of Anesthesiologists, MMSE Mini-Mental-State Examination, MNA-SF Mini Nutrition Assessment-Short Form, MNA Mini Nutrition Assessment, NRS-2002 nutritional risk screening 2002
  2. aBased on our own calculation, abstracted from raw data