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Original Article
- Delirium after Intertrochanteric Fractures of Femur in Elderly Patients
- Kyu Bok Kang, Dong Hun Suh, Seong Rok Oh
- J Korean Fract Soc 2011;24(2):131-137. Published online April 30, 2011
- DOI: https://doi.org/10.12671/jkfs.2011.24.2.131
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Abstract
PDF - PURPOSE
To evaluate the incidence, risk factors and prognosis of delirium in elderly patients with intertrochanteric fractures of femur.
MATERIALS AND METHODS
162 patients who underwent operation for intertrochanteric fracture of femur from July 2005 to January 2007 were reviewed retrospectively. Delirium was diagnosed by using Confusion Assessment Method (CAM). Medical records were reviewed for the information of the patients, Gross motor function classification of Palisano et al. was used for the evaluation of ambulatory status. Univariate analysis and multivariate analysis were done to find out the risk factors.
RESULTS
2 cases out of 162 (1.2%) met the criteria of delirium at admission, and 39 cases (24.1%) after surgery. Univariate analysis and multivariate analysis identified age, hematocrit, dementia, the duration of opiate use, and pulmonary complication as risk factors. Hospital stay was longer and postoperative ambulatory status was worse in the patients with delirium.
CONCLUSION
Delirium is a frequent complication of intertrochanteric fractures of old age and associated with worse results. Cognitive function as well as physical status should be evaluated before and after surgery. Delirium needs more active prevention and treatment for better results. -
Citations
Citations to this article as recorded by
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Journal of the Korean Orthopaedic Association.2019; 54(2): 157. CrossRef - Laozi. De la figure du maître mythique à la divinité taoïque
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Archimède. Archéologie et histoire ancienne.2019; 6: 16. CrossRef - Outcomes of Patients With Delirium in Long-Term Care Facilities: A Prospective Cohort Study
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Journal of Gerontological Nursing.2018; 44(9): 41. CrossRef - Relationship between Delirium and Clinical Prognosis among Older Patients underwent Femur Fracture Surgery
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Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 649. CrossRef - The effects of a tailored intensive care unit delirium prevention protocol: A randomized controlled trial
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International Journal of Nursing Studies.2015; 52(9): 1423. CrossRef - Automatic Delirium Prediction System and Nursing-Sensitive Outcomes in the Medical Intensive Care Unit
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Clinical Nursing Research.2015; 24(1): 29. CrossRef - Postoperative Delirium in Elderly Patients with Osteoarthritis Surgery: Incidence and Risk Factors
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Journal of muscle and joint health.2015; 22(2): 57. CrossRef - Is Delirium an Unrecognized Threat to Patient Safety in Korean Intensive Care Units?
Kyoung-Ja Moon, Jinshi Piao, Yinji Jin, Sun-Mi Lee
Journal of Nursing Care Quality.2014; 29(1): 91. CrossRef
- Incidence and Associated Factors of Delirium after Orthopedic Surgery
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