Evidence map›Paper›PMID 40589442›Full record

ArticleCureus2025

The Association Between Possible Sarcopenia and Delirium Onset in Older Patients With Acute Stroke.

Kaori Shiozaki, Ayano Nagano, Mariko Hanaoka, Yuki Uchiyama, Kazuhisa Domen, Tetsuo Koyama

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kaori ShiozakiDepartment of Nursing, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, JPN.
Ayano NaganoDepartment of Nursing, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, JPN.
Mariko HanaokaDepartment of Nutrition, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, JPN.
Yuki UchiyamaDepartment of Rehabilitation Medicine, School of Medicine, Hyogo Medical University, Nishinomiya, JPN.
Kazuhisa DomenDepartment of Rehabilitation Medicine, School of Medicine, Hyogo Medical University, Nishinomiya, JPN.
Tetsuo KoyamaDepartment of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Delirium is a common and serious complication among older adults hospitalized with acute stroke, and it is associated with increased morbidity, mortality, and prolonged hospital stays. Sarcopenia, characterized by a decline in muscle mass and strength, has emerged as a potential risk factor for delirium. However, there has been scarce research exploring this relationship in stroke populations. This study aimed to investigate the association between possible sarcopenia and the onset of delirium in older patients with acute stroke. Methods We conducted a retrospective cohort study of patients aged 65 years and older admitted to the Stroke Care Unit of a single institution between April 2020 and March 2021. Possible sarcopenia was defined using the AWGS2019 criteria based on grip strength and calf circumference. Delirium was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria by a certified dementia care team. Clinical characteristics and known delirium risk factors were extracted from medical records. Logistic regression analysis was performed to identify independent predictors of delirium. Results Of the 543 patients screened, 486 were included in the final analysis. Possible sarcopenia was identified in 187 patients (38.4%). Delirium occurred in 46 patients (9.4%), and its incidence was significantly higher in the sarcopenia group (15.0%) than in the non-sarcopenia group (6.0%, p=0.001). Multivariate logistic regression analysis revealed that possible sarcopenia was independently associated with delirium onset [odds ratio (OR): 1.98, 95% confidence interval (CI): 1.01-3.91, p=0.048], second only to a history of delirium. Conclusions Our findings suggest that possible sarcopenia is a significant and independent predictor of delirium in older patients with acute stroke. Early identification of sarcopenia may facilitate targeted interventions to reduce delirium risk and improve clinical outcomes in this vulnerable population.

Indexed as

geriatric medicinenursingnutritionretrospective researchrisk assessment

Identifiers

PMID40589442
PMCPMC12206565

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.