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1 "Post-operative delirium"
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Original Article
Risk Factors of Postoperative Delirium in Elderly Patients with Hip Fractures
Ki Hwan Kim, Duk Hwan Kho, Ju Yong Shin, Jin Yong Choi, Eung Sik Kim, Dong Heon Kim
J Korean Fract Soc 2008;21(3):189-194.   Published online July 31, 2008
DOI: https://doi.org/10.12671/jkfs.2008.21.3.189
AbstractAbstract PDF
PURPOSE
To find out the relationship between various risk factors and post-operative delirium in elderly patients with hip fractures.
MATERIALS AND METHODS
Out of 135 patients older than 65 years old who underwent the surgery for hip fracture in our department, between the periods of March 2003 to March 2005, 14 patients (10.4%) developed post-operative delirium and 121 patients (89.6%) did not. We studied risk factors of post-operative delirium in two groups.
RESULTS
In chi-square test between delirium group and non-delirium group, the patients were more likely to develop post-operative delirium if they had previous episodes of delirium, abnormal cognitive function, low walking ability before admission, high dependency on ADL (Activities of Daily Living), other medical accompanying diseases, history of dementia, post-operative hypoxia, post-operative electrolyte imbalance, low post-operative hemoglobin and hematocrit, low post-operative albumin and were older than 75 years old (p<0.05). Sex, type of fracture, anesthesia and the time between admission and operation did not show much difference between the two groups.
CONCLUSION
The risk factors of postoperative delirium in elderly patients with hip fracture have a tendency to be multifactorial. Therefore, we conclude that being prepared by thorough understanding of the risk factors and their relationships will help prevent post-operative delirium and result in good postoperative prognosis.

Citations

Citations to this article as recorded by  
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    Disease Markers.2021; 2021: 1.     CrossRef
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    Myung-Rae Cho, Suk-Kyoon Song, Cheol-Hwan Ryu
    Hip & Pelvis.2020; 32(2): 93.     CrossRef
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    Si-Wook Lee, Chul-Hyun Cho, Ki-Cheor Bae, Kyung-Jae Lee, Eun-Seok Son, Sang-Hyun Um
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  • Is Delirium an Unrecognized Threat to Patient Safety in Korean Intensive Care Units?
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    Journal of Nursing Care Quality.2014; 29(1): 91.     CrossRef
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  • Knowledge, Performance and Stress about Care for Delirium in Orthopedic Hospital Nurses
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    Journal of muscle and joint health.2013; 20(1): 72.     CrossRef
  • The Experience of Delirium Care and Clinical Feasibility of the CAM-ICU in a Korean ICU
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    Clinical Nursing Research.2013; 22(1): 95.     CrossRef
  • Development and validation of the Korean Nursing Delirium Scale
    Kyoung-Nam Kim, Cheol-Ho Kim, Kwang-Il Kim, Hyun-Jung Yoo, Si-Young Park, Yeon-Hwan Park
    Journal of Korean Academy of Nursing.2012; 42(3): 414.     CrossRef
  • Influencing Factors of the Incidence of Delirium in Elderly Patients with Arthroplasty
    Young-Whee Lee, Hye-Bin Im, Eun-Jeong Jeong, Hee-Sun Ma
    Korean Journal of Adult Nursing.2012; 24(4): 348.     CrossRef
  • Delirium After Spinal Surgery in Korean Population
    Jin Kyu Lee, Ye-Soo Park
    Spine.2010; 35(18): 1729.     CrossRef
  • The Incidence and Related Factors of Delirium in Elderly Patients with Hip Fracture after Surgery
    Bo-Kyung Sohn, Yerl-Bo Sung, Eun-Jin Park, Dong-Woo Lee
    Journal of the Korean Geriatrics Society.2010; 14(3): 162.     CrossRef
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