Sivarajah Ilango1, Ranjeev Chrys Pulle2, Jack Bell3, Suzanne S Kuys4,5. 1. Internal Medical Services, The Prince Charles Hospital, Brisbane, Queensland, Australia. 2. Internal Medicine and Geriatric Medicine Unit, The Prince Charles Hospital, Brisbane, Queensland, Australia. 3. Nutrition and Dietetics, The Prince Charles Hospital, Brisbane, Queensland, Australia. 4. Allied Health, The Prince Charles Hospital, Brisbane, Queensland, Australia. 5. Centre for Musculoskeletal Research, Griffith Health Institute, Griffith University, Gold Coast, Queensland, Australia.
Abstract
AIM: Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture. METHOD: This observational study comprises prospectively collected data on hip fracture patients admitted between October 2010 and November 2011. Delirium was diagnosed clinically by geriatricians. RESULTS: Of the 344 patients admitted, seven managed conservatively and 19 with incomplete data were excluded; 318 patients were analysed. Average age was 81.6 (SD 9.8) years; 28% were men and 167 (53%) were administered general anaesthesia. Mean length of stay was 18 (SD 9.4) days. Overall, 172 patients (54%) experienced delirium. There was no apparent difference in postoperative delirium by anaesthetic type (88 vs 84, P = 0.15). CONCLUSION: Delirium was common in both general and spinal anaesthetic patients. Further randomised controlled trials would be required to determine whether anaesthesia type influenced delirium rates.
AIM: Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture. METHOD: This observational study comprises prospectively collected data on hip fracturepatients admitted between October 2010 and November 2011. Delirium was diagnosed clinically by geriatricians. RESULTS: Of the 344 patients admitted, seven managed conservatively and 19 with incomplete data were excluded; 318 patients were analysed. Average age was 81.6 (SD 9.8) years; 28% were men and 167 (53%) were administered general anaesthesia. Mean length of stay was 18 (SD 9.4) days. Overall, 172 patients (54%) experienced delirium. There was no apparent difference in postoperative delirium by anaesthetic type (88 vs 84, P = 0.15). CONCLUSION:Delirium was common in both general and spinal anaesthetic patients. Further randomised controlled trials would be required to determine whether anaesthesia type influenced delirium rates.
Authors: Louis de Jong; Veronique A J I M van Rijckevorsel; Jelle W Raats; Taco M A L Klem; Tjallingius M Kuijper; Gert R Roukema Journal: Clin Interv Aging Date: 2019-02-26 Impact factor: 4.458
Authors: Domenik Popp; Arastoo Nia; Sara Silvaieh; Cornelia Diendorfer; Lukas Schmoelz; Georg Thalmann; Stefan Frank; Kevin Döring; Stefan Hajdu; Harald K Widhalm Journal: J Clin Med Date: 2022-04-01 Impact factor: 4.241