Usefulness of the Short IQCODE for Predicting Postoperative Delirium in Elderly Patients Undergoing Hip and Knee Replacement Surgery
| Autor: | Jean-Albert Chaumier, Mathieu Priner, Maud Jourdain, Marc Paccalin, Gauthier Bouche, Isabelle Merlet-Chicoine |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Aging medicine.medical_specialty genetic structures Arthroplasty Replacement Hip medicine.medical_treatment MEDLINE Knee replacement behavioral disciplines and activities Postoperative Complications Organic mental disorders Surveys and Questionnaires mental disorders medicine Humans Postoperative delirium Prospective Studies Arthroplasty Replacement Knee Prospective cohort study Aged Psychiatric Status Rating Scales business.industry Delirium medicine.disease Arthroplasty humanities nervous system diseases Surgery Psychiatric status rating scales Female Geriatrics and Gerontology medicine.symptom business |
| Zdroj: | Gerontology. 54:116-119 |
| ISSN: | 1423-0003 0304-324X |
| DOI: | 10.1159/000117574 |
| Popis: | Background/Objective: The prevalence of postoperative delirium in elderly patients is >30%. The objective of this prospective study was to determine the usefulness of the short form of the Informant Questionnaire on COgnitive Decline in the Elderly (short IQCODE) to predict the occurrence of postoperative delirium after elective hip and knee arthroplasty in the elderly. Methods: Consecutive patients, 60 years and older, who were admitted for elective hip or knee arthroplasty were included. The preoperative cognitive status was determined using the Mini-Mental State Examination (MMSE) and the short IQCODE. Postoperative delirium was diagnosed using the Confusion Assessment Method. Logistic regression was used to analyze the links between the preoperative test scores and the outcome of postoperative delirium. Results: One hundred and one patients completed the study (mean age 73.6 ± 6.6 years). The mean ± SD MMSE score was 26 ± 3, and the mean short IQCODE score was 50.7 ± 6.2. Postoperative delirium developed in 15 patients (14.8%). A short IQCODE score >50 was significantly associated with postoperative delirium (OR 12.7, 95% CI 1.4–115.5; p = 0.02). Conclusions: The short IQCODE appears to be a useful tool to predict the risk of postoperative delirium in elderly patients undergoing elective surgery. Detecting this complication could be of great interest to improve the postoperative survey of elderly patients. |
| Databáze: | OpenAIRE |
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