Effect of Postoperative Delirium on Outcome after Hip Fracture
Autor: | David M Edelstein, Kenneth J. Koval, Joseph D. Zuckerman, Gina B. Aharonoff, Edward L Capla, Adam Karp |
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Rok vydání: | 2004 |
Předmět: |
Male
medicine.medical_specialty Activities of daily living Risk Assessment Cohort Studies Fracture Fixation Internal Postoperative Complications Sex Factors Organic mental disorders Epidemiology medicine Humans Orthopedics and Sports Medicine Aged Probability Retrospective Studies Aged 80 and over Fracture Healing Analysis of Variance Hip fracture Hip Fractures business.industry Incidence Mortality rate Age Factors Delirium Postoperative complication General Medicine Prognosis medicine.disease Survival Analysis Surgery Multivariate Analysis Ambulatory Female medicine.symptom business |
Zdroj: | Clinical Orthopaedics and Related Research. 422:195-200 |
ISSN: | 0009-921X |
Popis: | Nine-hundred twenty-one community-dwelling patients 65 years of age or older, who sustained an operatively treated hip fracture from July 1, 1987 to June 30, 1998 were followed up for the development of postoperative delirium. The outcomes examined in the current study were postoperative complication rates, in-hospital mortality, hospital length of stay, hospital discharge status, 1-year mortality rate, place of residence, recovery of ambulatory ability, and activities of daily living 1 year after surgery. Forty-seven (5.1%) patients were diagnosed with postoperative delirium. Patients who had delirium develop were more likely to be male, have a history of mild dementia, and have had surgery under general anesthesia. Patients who had postoperative delirium develop had a significantly longer length of hospitalization. They also had significantly higher rates of mortality at 1 year, were less likely to recover their prefracture level of ambulation, and were more likely to show a decline in level of independence in basic activities of daily living at the 1-year followup. There was no difference in the rate of postoperative complications, in-hospital mortality, discharge residence, and recovery of instrumental activities of daily living at 1 year. |
Databáze: | OpenAIRE |
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