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June 10, 2016Geriatrics and gerontology international/Geriatrics & gerontology international

Screening for postoperative delirium in patients with acute hip fracture: Assessment of predictive factors

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Authors

AKAslı KöşkderelioğluÖÖÖzlem ÖnderMGMelike Gucuyener

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Overview

Cohort study reveals cognitive decline and depression predict postoperative delirium in hip fracture patients, highlighting CAM-ICU screening utility.

Key Points

  • To determine the incidence and risk factors for delirium in older patients following hip fracture surgery and evaluate the diagnostic performance of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).
  • Consecutively enrolled 109 patients aged 65 years or older undergoing acute hip fracture surgery.
  • Conducted daily assessments for delirium using CAM-ICU criteria alongside reference DSM-IV criteria.
  • Evaluated baseline cognitive status via the Mini-Mental State Examination (MMSE) and depressive symptoms via the Beck Depression Inventory (BDI).
  • Postoperative delirium developed in 18.3% (20/109) of patients, with the CAM-ICU showing high diagnostic accuracy (sensitivity 80%, specificity 98.9%, kappa = 0.84).
  • Multivariate regression revealed lower MMSE scores independently predicted delirium occurrence (OR 0.75, 95% CI 0.65–0.86, P = 0.001).
  • Higher BDI depression scores were independently associated with increased delirium risk (OR 1.13, 95% CI 1.05–1.22, P = 0.001).

Cite This Study

Köşkderelioğlu et al. (2016) studied this question.

synapsesocial.com/papers/6a736cf08200279edac1e73dhttps://doi.org/10.1111/ggi.12806
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Delirium and long-term cognitive impairment2009 · 251 citations
  2. 2Delirium in Elderly Patients and the Risk of Postdischarge Mortality, Institutionalization, and Dementia2010 · 2,025 citations
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  4. 4Predisposing Factors for Postoperative Delirium After Hip Fracture Repair in Individuals with and without Dementia2011 · 176 citations