Publications by authors named "Annette Kalf"
Background: Nutritional status has major impacts on the outcome of surgery, in particular in patients with cancer. The aim of this review was to assess the merit of oral pre-operative nutritional support as a part of prehabilitation in patients undergoing surgery for colorectal cancer.
Methods: A systematic literature search and meta-analysis was performed according to the Preferred Reporting of Systematic Reviews and Meta-Analyses (PRISMA) recommendations in order to review all trials investigating the effect of oral pre-operative nutritional support in patients undergoing colorectal surgery.
Background: Numerous frailty screening instruments are available, but their applicability for identifying frailty in patients with end-stage renal disease (ESRD) is unknown. We aimed to investigate the diagnostic accuracy of three instruments used for frailty screening in an ESRD population.
Methods: The study was conducted in 2013 in a teaching hospital in The Netherlands and included patients receiving haemodialysis, peritoneal dialysis and pre-dialysis care.
Purpose: Prognosis of the increasing number of elderly patients with end-stage renal disease (ESRD) is poor with high risk of functional decline and mortality. Frailty seems to be a good predictor for those patients that will not benefit from dialysis. Varying prevalences between populations are probably related to the instrument used.
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- Delirium is frequently overlooked in ICU patients, leading to poor outcomes, and organizations recommend screening to enhance diagnosis and treatment.
- The Confusion Assessment Method for the ICU (CAM-ICU) shows high sensitivity and specificity when used by trained nurses, but its effectiveness in routine practice is uncertain.
- A study involving 15 delirium experts assessed 282 ICU patients, revealing that while the CAM-ICU had high specificity (98%), its sensitivity was low (47%), making early delirium detection challenging.