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Delirium after hip hemiarthroplasty for proximal femoral fractures in elderly patients: risk factors and clinical outcomes
- Source :
- Clinical Interventions in Aging. 14:427-435
- Publication Year :
- 2019
- Publisher :
- Informa UK Limited, 2019.
-
Abstract
- Background The primary aim of the present study was to verify the potential risk factors for developing a delirium after hip fracture surgery. The secondary aim of this study was to examine the related clinical outcomes after a delirium developed post-hip fracture surgery. Patients and methods Data were extracted from a prospective hip fracture database and completed by retrospective review of the hospital records. A total of 463 patients undergoing hip fracture (hip hemiarthroplasty) surgery in a level II trauma teaching hospital between January 2011 and May 2016 were included. Delirium was measured using the Delirium Observation Screening Scale, the confusion assessment method, and an observatory judgment by geriatric medicine specialists. Results The results showed that 26% of the patients (n=121) developed a delirium during hospital stay with a median duration during admission of 5 days (IQR 3-7). The multivariable model showed that the development of delirium was significantly explained by dementia (OR 2.75, P=0.001), age (OR 1.06, P=0.005), and an infection during admission (pneumonia, deep surgical site infection, or urinary tract infection) (OR 1.23, P=0.046). After 1 year of follow-up, patients who developed delirium after hip fracture surgery were significantly more discharged to (semi-independent) nursing homes (P
- Subjects :
- Geriatrics
Hip fracture
medicine.medical_specialty
business.industry
Mortality rate
Urinary system
Hip hemiarthroplasty
General Medicine
medicine.disease
behavioral disciplines and activities
nervous system diseases
03 medical and health sciences
Pneumonia
0302 clinical medicine
Internal medicine
mental disorders
medicine
Dementia
Delirium
030212 general & internal medicine
Geriatrics and Gerontology
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 11781998
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Clinical Interventions in Aging
- Accession number :
- edsair.doi...........58af7a8f5e8c16e1399c09f35cdf7bde