Refine
Year of publication
Document Type
- Article (23)
- conference proceeding (presentation, abstract) (15)
- Part of a Book (13)
- conference proceeding (article) (6)
- Book (4)
- Habilitation (1)
Is part of the Bibliography
- no (62)
Keywords
- Sport (4)
- Behindertenpädagogik (3)
- Behinderter (3)
- Behinderung (3)
- Fußball (3)
- Psychotraining (3)
- Sportpsychologie (3)
- Basketball (2)
- Behindertensport (2)
- Beruf (2)
Institute
Begutachtungsstatus
- peer-reviewed (13)
- begutachtet (2)
Einfach Fußball
(2012)
Welche Freizeitaktivitäten bedingen sportliche Aktivitäten in einer mediatisierten Gesellschaft?
(2010)
Psychische Leistungsvoraussetzungen im Rollstuhlbasketball: Theorie, Empirie und Intervention
(2010)
BACKGROUND
Surgeons have historically used age as a preoperative predictor of postoperative outcomes. Sarcopenia, the loss of skeletal muscle mass due to disease or biological age, has been proposed as a more accurate risk predictor. The prognostic value of sarcopenia assessment in surgical patients remains poorly understood. Therefore, we aimed to synthesize the available literature and investigate the impact of sarcopenia on peri- and postoperative outcomes across all surgical specialties.
METHODS
We systematically assessed the prognostic value of sarcopenia on postoperative outcomes by conducting a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching the PubMed/MEDLINE and EMBASE databases from inception to 1st October 2022. Our primary outcomes were complication occurrence, mortality, length of operation and hospital stay, discharge to home, and postdischarge survival rate at one, three, and five years. Subgroup analysis was performed by stratifying complications according to the Clavien-Dindo classification system. Sensitivity analysis was performed by focusing on studies with an oncological, cardiovascular, emergency, or transplant surgery population, and on those of higher quality or prospective study design.
RESULTS
A total of 294 studies comprising 97,643 patients, of which 33,070 had sarcopenia, were included in our analysis. Sarcopenia was associated with significantly poorer postoperative outcomes including greater mortality, complication occurrence, length of hospital stay, and lower rates of discharge to home (all P<0.00001). A significantly lower survival rate in patients with sarcopenia was noted at one, three, and five years (all P<0.00001) after surgery. Subgroup analysis confirmed higher rates of complications and mortality in oncological (both P<0.00001), cardiovascular (both P<0.00001), and emergency (P=0.03 and P=0.04, respectively) patients with sarcopenia. In the transplant surgery cohort, mortality was significantly higher in patients with sarcopenia (P<0.00001). Among all patients undergoing surgery for inflammatory bowel disease, the frequency of complications was significantly increased among sarcopenic patients (P=0.007). Sensitivity analysis based on higher-quality studies and prospective studies showed that sarcopenia remained a significant predictor of mortality and complication occurrence (all P<0.00001).
CONCLUSION
Sarcopenia is a significant predictor of poorer outcomes in surgical patients. Preoperative assessment of sarcopenia can help surgeons to identify patients at risk, critically balance eligibility, and refine perioperative management. Large-scale studies are required to further validate the importance of sarcopenia as a prognostic indicator of perioperative risk, especially in surgical sub-specialties.
Introduction: Consultant Effectiveness is one of the main pillars of successfully implementing Psychological Skills Training (PST) in both elite mainstream and disability sports (Martin, 2015;
Vealey, 2007). Yet, there is a dearth of research on the articularities of PST consultation in elite Deaf Sport (Schliermann, 2015). Since hearing impairments have multiple intrapsychic as
well as interpsychic implications (Leigh & Andrews, 2016), it might influence Consultant Effectiveness in Deaf Sport. Therefore, the main purpose of this exploratory study was to investigate
preconceptions and actual experience of sport psychologists in regard to the consultation of elite deaf and hard-of-hearing (HOH) athletes. Method: A self-constructed questionnaire was administrated to 93 accredited sport psychology consultants (Mconsultant-years = 10.78) in
German-speaking countries. They were asked about their awareness, opinions and experience with deaf and HOH athletes. Results: Seven consultants (8%) reported ever to have worked with a deaf or HOH athlete. Four had ever watched a competition of the Deaflympics
in comparison to 77 who had watched one of the Paralympic games. Yet most subjects (71%) declared their willingness to work with deaf or HOH athletes regardless of their years of experience as consultants or prior contact with deaf or HOH individuals. In addition, the vast majority of the sample evaluated the implementation of common PST techniques in Deaf Sport as potentially “very effective” or “extremely effective”. When asked about potential particularities in the work with this group of athletes, most consultants focused mainly on communication issues. Conclusion: The analyses revealed a lack of awareness of elite Deaf Sport within the professional sport psychology communities in Germany, Austria and Switzerland. Furthermore, a low rate of professional PST implementation in elite Deaf Sport was found in these countries. Considering the lack of experience and knowledge about the particularities in Deaf Sport, further research is needed to provide hearing consultants with tools to understand the world of elite deaf and HOH athletes beyond the means of communication with them.
In der Literatur fehlen weitgehend empirische Erkenntnisse zum Psychological Skills Training (PST) mit hörbeeinträchtigten Spitzensportler_innen. Die vorliegende empirische Studie analysiert die Anwendbarkeit des TOPS-D1-Fragebogens als geeignetes Diagnostikverfahren für hörbeeinträchtigte Spitzenathlet_innen. Außerdem werden bedeutsame Rahmenbedingungen zur effektiven Durchführung von PST untersucht. Im Hauptergebnis ist festzuhalten, dass psychometrisch geprüfte standardisierte Fragebögen bei hörbeeinträchtigten Athlet_innen nur eingeschränkt eingesetzt werden können. Darüber hinaus sind
auch beim Trainingsprozess besondere Rahmenbedingungen zu beachten.