Literature DB >> 22014763

Pain and cognitive dysfunction are the risk factors of delirium in elderly hip fracture Chinese patients.

Hongling Nie1, Bin Zhao, Yun-Qiang Zhang, Ying-Hong Jiang, Ya-Xiong Yang.   

Abstract

AIMS: To observe the incidence of delirium in elderly hip fracture patients and search for the potential risk factors.
METHODS: Patients over 60 years were included in this study. Gender, age, education level, fracture type, organic dysfunction, cognitive dysfunction, comorbidity, medication, time from admission to surgery, and pain intensity were collected and analyzed, together with laboratory assessments and surgery including surgery type, time in surgery and blood loss in surgery.
RESULTS: 16 in 123 patients developed delirium. The incidence rate of delirium was 13% in the period of 6 days after surgery. Pain intensity and cognitive dysfunction were the risk factors.
CONCLUSION: Pain intensity and cognitive impairment after hip fracture were found as the risk factors for development of delirium in elder Chinese patients. Prevention and management of delirium needs pain management pre- and post-operatively. Copyright Â
© 2011 Elsevier Ireland Ltd. All rights reserved.

Entities:  

Mesh:

Year:  2011        PMID: 22014763     DOI: 10.1016/j.archger.2011.09.012

Source DB:  PubMed          Journal:  Arch Gerontol Geriatr        ISSN: 0167-4943            Impact factor:   3.250


  18 in total

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Review 3.  Incidence and associated factors of delirium after orthopedic surgery in elderly patients: a systematic review and meta-analysis.

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Review 4.  Prognostic factors of in-hospital complications after hip fracture surgery: a scoping review.

Authors:  K J Sheehan; E M Guerrero; D Tainter; B Dial; R Milton-Cole; J A Blair; J Alexander; P Swamy; L Kuramoto; P Guy; J P Bettger; B Sobolev
Journal:  Osteoporos Int       Date:  2019-04-29       Impact factor: 4.507

Review 5.  [Delirium in the intensive care unit : Overview for nurses and physicians].

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Review 7.  [Research progress of the role of postoperative pain in the development of postoperative cognitive dysfunction in geriatric patients].

Authors:  Xiaohui Chen; Xiaoqiang Ren; Yabing Ma; Li Ge; Zhongyuan Hu; Wenjun Yan
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8.  Effects of continuous fascia iliaca compartment blocks for postoperative analgesia in patients with hip fracture

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9.  Incidence, risk factors, and phenomenological characteristics of postoperative delirium in patients receiving intravenous patient-controlled analgesia: a prospective cohort study.

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10.  Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures.

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Journal:  Ann Rehabil Med       Date:  2021-06-30
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