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The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management
BACKGROUND: Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium. METHODS: Hip fracture...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938521/ https://www.ncbi.nlm.nih.gov/pubmed/33678192 http://dx.doi.org/10.1186/s12891-021-04091-1 |
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author | Xu, Weifang Ma, Haiping Li, Wang Zhang, Chen |
author_facet | Xu, Weifang Ma, Haiping Li, Wang Zhang, Chen |
author_sort | Xu, Weifang |
collection | PubMed |
description | BACKGROUND: Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium. METHODS: Hip fracture patients admitted to our hospital for surgical treatment from March 2018 to March 2020 were identified as participants. The characteristics and laboratory examinations in patients with and without postoperative delirium were compared and analyzed. Logistic regression analyses were conducted to ascertain the independent risk factors, and the area under the curve (AUC) were calculated to analyze the predictive value. RESULTS: A total of 568 postoperative patients with hip fracture were included, the incidence of delirium in postoperative patients with hip fracture was 14.44 %. The preoperative albumin (OR 4.382, 2.501 ~ 5.538), history of delirium (OR 2.197, 1.094 ~ 3.253), TSH (OR1.245, 1.077 ~ 1.638), the resting score on the first postoperative day (OR1.235, 0.944 ~ 1.506) and age(OR1.185, 0.065 ~ 1.814) were the independent risk factors for the postoperative delirium in patients with hip fracture(all p < 0.05). The AUC of albumin, history of delirium, TSH, the resting score on the first postoperative day and age were 0.794, 0.754, 0.746, 0.721 and 0.689 respectively. CONCLUSIONS: The incidence of delirium in postoperative patients with hip fracture is rather high, especially for patients with old age and history of delirium. Monitoring albumin, TSH and resting score may be beneficial to the management of postoperative delirium. |
format | Online Article Text |
id | pubmed-7938521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79385212021-03-09 The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management Xu, Weifang Ma, Haiping Li, Wang Zhang, Chen BMC Musculoskelet Disord Research Article BACKGROUND: Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium. METHODS: Hip fracture patients admitted to our hospital for surgical treatment from March 2018 to March 2020 were identified as participants. The characteristics and laboratory examinations in patients with and without postoperative delirium were compared and analyzed. Logistic regression analyses were conducted to ascertain the independent risk factors, and the area under the curve (AUC) were calculated to analyze the predictive value. RESULTS: A total of 568 postoperative patients with hip fracture were included, the incidence of delirium in postoperative patients with hip fracture was 14.44 %. The preoperative albumin (OR 4.382, 2.501 ~ 5.538), history of delirium (OR 2.197, 1.094 ~ 3.253), TSH (OR1.245, 1.077 ~ 1.638), the resting score on the first postoperative day (OR1.235, 0.944 ~ 1.506) and age(OR1.185, 0.065 ~ 1.814) were the independent risk factors for the postoperative delirium in patients with hip fracture(all p < 0.05). The AUC of albumin, history of delirium, TSH, the resting score on the first postoperative day and age were 0.794, 0.754, 0.746, 0.721 and 0.689 respectively. CONCLUSIONS: The incidence of delirium in postoperative patients with hip fracture is rather high, especially for patients with old age and history of delirium. Monitoring albumin, TSH and resting score may be beneficial to the management of postoperative delirium. BioMed Central 2021-03-07 /pmc/articles/PMC7938521/ /pubmed/33678192 http://dx.doi.org/10.1186/s12891-021-04091-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Xu, Weifang Ma, Haiping Li, Wang Zhang, Chen The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
title | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
title_full | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
title_fullStr | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
title_full_unstemmed | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
title_short | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
title_sort | risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938521/ https://www.ncbi.nlm.nih.gov/pubmed/33678192 http://dx.doi.org/10.1186/s12891-021-04091-1 |
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