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July 1, 1991Journal of the American Geriatrics Society

A Geriatric‐Anesthesiologic Program To Reduce Acute Confusional States in Elderly Patients Treated for Femoral Neck Fractures

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Why the study?

Does a geriatric-anesthesiologic intervention program reduce acute confusional states in elderly patients treated for femoral neck fractures?

Population

214 elderly patients treated for femoral neck fractures

Comparison

Geriatric-anesthesiologic intervention program… vs Historical control group from an earlier study

Design

Cohort

Follow-up

Until hospital discharge

Authors

YGYngve GustafsonBBBenny BrännströmDBDiana Berggren

Discussion

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Overview

Geriatric-anesthesiologic intervention was associated with lower delirium rates after hip fracture; leaves open benefit pending randomized confirmation.

Structured PICO

Does a geriatric-anesthesiologic intervention program reduce acute confusional states in elderly patients treated for femoral neck fractures?

P
Population
214 elderly patients treated for femoral neck fractures (103 in intervention group, 111 in historical control group)
I
Intervention
Geriatric-anesthesiologic intervention program consisting of pre- and post-operative geriatric assessments, oxygen therapy, early surgery, prevention and treatment of peri-operative blood pressure falls, and treatment of post-operative complications
C
Comparator
Historical control group from an earlier study (111 patients)
O
Outcome
Incidence of acute confusional states (ACS)

A targeted geriatric-anesthesiologic intervention program significantly reduces the incidence, severity, and duration of acute confusional states and shortens hospital stay in elderly patients with femoral neck fractures.

Cite This Study

Gustafson et al. (1991) studied this question.

synapsesocial.com/papers/6a7045b7f44fa9f079dddb28https://doi.org/10.1111/j.1532-5415.1991.tb03618.x
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Also Consider

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

  1. 1Acute Confusional States in Elderly Patients Treated for Femoral Neck Fracture1988 · 479 citations
  2. 2Postoperative Confusion After Anesthesia in Elderly Patients with Femoral Neck Fractures1987 · 279 citations
  3. 3Anaesthetic techniques for surgical correction of fractured neck of femur1978 · 106 citations
  4. 4COMPARISON OF THE EFFECTS OF SPINAL ANAESTHESIA AND GENERAL ANAESTHESIA ON POSTOPERATIVE OXYGENATION AND PERIOPERATIVE MORTALITY1980 · 100 citations
  5. 5Textbook of Geriatric Medicine and Gerontology.1988 · 271 citations