دورية أكاديمية
Prevalence and Characteristics of Pre-Operative Delirium in Hip Fracture Patients.
| العنوان: | Prevalence and Characteristics of Pre-Operative Delirium in Hip Fracture Patients. |
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| المؤلفون: | Freter S; QEII Health Sciences Centre - Capital District Health Authority, Dalhousie University, Halifax, N.S., Canada., Dunbar M, Koller K, MacKnight C, Rockwood K |
| المصدر: | Gerontology [Gerontology] 2016; Vol. 62 (4), pp. 396-400. Date of Electronic Publication: 2015 Dec 15. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 7601655 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0003 (Electronic) Linking ISSN: 0304324X NLM ISO Abbreviation: Gerontology Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel, New York, Karger. |
| مواضيع طبية MeSH: | Delirium/*epidemiology , Delirium/*etiology , Hip Fractures/*complications, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Nova Scotia/epidemiology ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Preoperative Period ; Prevalence ; Risk Factors |
| مستخلص: | Background: Delirium is a common complication of hip fracture and is associated with negative outcomes. Previous studies document risk factors for post-operative delirium but have frequently excluded patients with pre-operative delirium. Objective: This study endeavours to document prevalence and risk factors for pre-operative delirium in hip fracture patients and compares risk factor profiles and outcomes between pre- and post-operative delirium. Methods: 283 hip fracture patients were assessed pre-operatively with the Delirium Elderly At Risk (DEAR) instrument, Mini-Mental State Examination (MMSE), and Confusion Assessment Method (CAM). They were followed on post-operative days 1, 3, and 5 for the presence of delirium. Doses of opioids were recorded. Wait time to surgery, length of stay, and discharge site were noted. Results: Delirium was present in 57.6% patients pre-operatively and 41.7% post-surgery. Not all patients (62%) with pre-operative delirium also had post-operative delirium. There was a considerable overlap in risk factors, with some differences. Wait time to surgery, number of comorbidities, and total pre-operative opioid and lorazepam doses were associated with pre- but not post-operative delirium. Negative outcomes were more closely associated with post-operative delirium. Conclusion: Delirium is common in pre-hip fracture surgery patients, and not all patients with pre-operative delirium go on to have post-operative delirium. Risk factor profiles are not identical, raising the possibility of identifying and intervening in patients at high risk of delirium pre-operatively. (© 2015 S. Karger AG, Basel.) |
| تواريخ الأحداث: | Date Created: 20151216 Date Completed: 20180105 Latest Revision: 20180608 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1159/000442385 |
| PMID: | 26667308 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1423-0003 |
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| DOI: | 10.1159/000442385 |