Development of dementia in patients with femoral neck fracture who experience postoperative delirium—A three‐year follow‐up study

Autor: Giuseppe Bellelli, Michael Stenvall, Maria Wik Persson, Yngve Gustafson, Birgitta Olofsson, A. Morandi
Přispěvatelé: Olofsson, B, Persson, M, Bellelli, G, Morandi, A, Gustafson, Y, Stenvall, M
Rok vydání: 2018
Předmět:
Male
Femoral Neck Fractures
Cognition
Postoperative Complications
0302 clinical medicine
Risk Factors
Odds Ratio
030212 general & internal medicine
Aged
80 and over
Geriatrics
Hip fracture
femoral neck fracture
Incidence
Incidence (epidemiology)
Hospitalization
Psychiatry and Mental health
Cognitive impairment
medicine.anatomical_structure
Female
medicine.symptom
medicine.medical_specialty
Geriatrik
geriatric
Nutritional Status
Nursing
behavioral disciplines and activities
03 medical and health sciences
mental disorders
medicine
Humans
Dementia
Mortality
cognitive impairment
Aged
Femoral neck
Depressive Disorder
geriatrics
Hip Fractures
business.industry
logistic regression
Omvårdnad
Delirium
Odds ratio
medicine.disease
mortality
nervous system diseases
Surgery
Logistic Models
Geriatrics and Gerontology
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: International Journal of Geriatric Psychiatry. 33:623-632
ISSN: 1099-1166
0885-6230
DOI: 10.1002/gps.4832
Popis: Objectives: It remains unclear to what extent postoperative delirium (POD) affects the incidence of dementia in hip fracture patients, and the methods used to detect delirium and dementia require validation. The aim of this study was to investigate the development of dementia within 3 years of femoral neck fracture repair surgery, with a focus on POD as a potential predictive factor. Methods: Patients were assessed for cognition, delirium, depression, psychological well-being, and nutritional status during their hospitalization as well as 4, 12, and 36 months after the operation. Logistic regression models were used to analyse factors associated with POD and factors associated with the development of dementia. Results: The study sample consisted of 135 patients without a history of dementia, of whom 20 (14.8%) were delirious preoperatively and 75 (55.5%) postoperatively. Three years after their operations, 43/135 patients (31.8%) were diagnosed with dementia. A greater portion of patients diagnosed with dementia (39/43, 90.6%) than patients with no dementia (36/92, 39.1%) were included among the 75 patients who had experienced POD (P
Databáze: OpenAIRE
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