ArticleInternational journal of nursing studies advances2025
A nomogram and risk stratification for predicting subsyndromal delirium in elderly patients in a post-anaesthesia care unit: A prospective cohort study.
Article in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- CECT Radiomics and Liver Fibrosis Markers for Predicting Early Recurrence in Older Patients with Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Subsyndromal delirium, as a transitional state of postoperative delirium, does not meet the diagnostic threshold for delirium but independently contributes to adverse outcomes in elderly patients. Early identification and intervention can effectively prevent disease progression. Objective: This study focuses on the post-anesthesia care unit, a critical window period for postoperative recovery, aiming to develop a reliable risk prediction model. Design: A prospective cohort study. Methods: Subsyndromal delirium was assessed with the Confusion Assessment Method at 30 min post-extubation and pre-transfer. The least absolute shrinkage and selection operator and multivariate logistic regression were applied to screen independent predictors and construct a nomogram. The performance of the model was evaluated by discrimination, calibration and clinical utility. Patients were subsequently divided into low-risk and high-risk subgroups. Results: The overall incidence of subsyndromal delirium in 2636 elderly patients in the post-anesthesia care unit was 18.6 %. Age, latest neutrophil to lymphocyte ratio, nighttime surgery, intraoperative hypothermia, patient-controlled analgesia usage, and duration of mechanical ventilation in the post-anesthesia care unit were identified as independent risk factors for predicting subsyndromal delirium. The areas under the ROC curve of the model were 0.904 (95 % CI: 0.878-0.931) and 0.850 (95 % CI: 0.814-0.886) in the training and validation cohorts, respectively. The calibration curves and decision curve analysis demonstrated good consistency and clinical value. Significant differences in subsyndromal delirium rates were observed between the low-risk and high-risk groups ( Conclusions: The developed nomogram model incorporating six clinical variables demonstrated excellent discrimination and calibration, with its risk stratification effectively identifying high-risk subsyndromal delirium patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.