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June 1, 2002Anesthesia & Analgesia

Preoperative Factors Associated with Postoperative Change in Confusion Assessment Method Score in Hip Fracture Patients

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Why the study?

What preoperative factors are associated with postoperative delirium in geriatric patients undergoing surgical repair of hip fracture?

Population

168 geriatric patients undergoing surgical repair of hip fracture, excluding those with a preoperative…

Design

Cohort

Follow-up

acute hospital stay

Authors

KZKhwaja J. ZakriyaCCColleen ChristmasJWJames F. Wenz

Discussion

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Overview

Preoperative abnormal serum sodium, ASA physical status >II, and normal white blood cell count are significant predictors of postoperative delirium in geriatric hip fracture patients.

Structured PICO

What preoperative factors are associated with postoperative delirium in geriatric patients undergoing surgical repair of hip fracture?

P
Population
168 geriatric patients (72% women) undergoing surgical repair of hip fracture, excluding those with a preoperative diagnosis of dementia or delirium.
O
Outcome
Postoperative delirium determined by a positive confusion assessment method score ([+]CAM) during the acute hospital stay

Preoperative abnormal serum sodium, ASA physical status >II, and normal white blood cell count are significant predictors of postoperative delirium in geriatric hip fracture patients.

Cite This Study

Zakriya et al. (2002) studied this question.

synapsesocial.com/papers/6a872d45bb0787ff27ca1da5https://doi.org/10.1097/00000539-200206000-00050
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Also Consider

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

  1. 1A Geriatric‐Anesthesiologic Program To Reduce Acute Confusional States in Elderly Patients Treated for Femoral Neck Fractures1991 · 271 citations
  2. 2Delirium in Hospitalized Older Persons: Outcomes and Predictors1994 · 449 citations
  3. 3Reducing Delirium After Hip Fracture: A Randomized Trial2001 · 1,386 citations
  4. 4Postoperative Delirium in the Elderly1995 · 301 citations
  5. 5Clinical Profile of Delirium in Patients Treated for Femoral Neck Fractures1999 · 125 citations