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December 1, 1987Survey of Anesthesiology

Postoperative Confusion After Anesthesia in Elderly Patients with Femoral Neck Fractures

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Why the study?

Does epidural anesthesia reduce postoperative confusion compared to halothane anesthesia in elderly patients with femoral neck fractures?

Population

57 patients, all over the age of 64, with femoral neck fracture, lucid on admission

Comparison

Epidural anesthesia vs Halothane anesthesia

Design

RCT, randomized

Follow-up

postoperative hospitalization period

Authors

DBDiana BerggrenYGYngve GustafsonBEBirgitta Eriksson

Discussion

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Overview

Epidural anesthesia does not reduce postoperative confusion versus halothane; confirms anticholinergics and depression history as higher-priority risk factors than anesthetic choice.

Structured PICO

Does epidural anesthesia reduce postoperative confusion compared to halothane anesthesia in elderly patients with femoral neck fractures?

P
Population
57 patients, all over the age of 64, with femoral neck fracture, lucid on admission
I
Intervention
Epidural anesthesia
C
Comparator
Halothane anesthesia
O
Outcome
Incidence of postoperative confusion (using DSM-III criteria)

Anticholinergic medication and a history of mental depression are more important risk factors for postoperative confusion than the choice between epidural and halothane anesthesia in elderly patients with femoral neck fractures.

Cite This Study

Berggren et al. (1987) studied this question.

synapsesocial.com/papers/6a70221ff44fa9f079ddb043https://doi.org/10.1097/00132586-198712000-00041
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postoperative Confusion after Anesthesia in Elderly Patients with Femoral Neck Fractures1987 · 263 citations
  2. 2Postoperative confusion after anasthesia in elderly patients with femoral neck fracture2023 · 1 citations
  3. 3Postoperative confusion in the elderly1989 · 9 citations
  4. 4Acute Confusional States in Elderly Patients Treated for Femoral Neck Fracture1988 · 479 citations
  5. 5Short-term complications of anesthetic technique used in hip fracture surgery in elderly people2018 · 11 citations