Why the study?
What preoperative variables are associated with postoperative delirium in geriatric patients undergoing surgical repair of hip fracture?
Population
168 geriatric patients admitted to the geriatric hip fracture service undergoing surgical repair of hip…
Design
Cohort
Follow-up
acute hospital stay
Key result
Preoperative ASA physical status >II (OR 11.3), abnormal serum sodium (OR 2.4), and normal WBC (OR 2.2) were significantly associated with postoperative delirium in hip fracture patients.
Authors
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These associations may aid risk stratification in hip fracture repair; leaves open causality and requires prospective validation before practice change.
Cohort (n=168)
What preoperative variables are associated with postoperative delirium in geriatric patients undergoing surgical repair of hip fracture?
Odds Ratio: 11.3
Preoperative abnormal serum sodium, normal white blood cell count, and ASA physical status >II are significant predictors of postoperative delirium in geriatric hip fracture patients.
Zakriya et al. (2002) conducted a cohort in Hip fracture (n=168). Preoperative risk factors (ASA physical status >II, abnormal serum sodium, normal WBC) vs. Absence of these risk factors was evaluated on Postoperative delirium (positive confusion assessment method score) (OR 11.3). Preoperative ASA physical status >II (OR 11.3), abnormal serum sodium (OR 2.4), and normal WBC (OR 2.2) were significantly associated with postoperative delirium in hip fracture patients.
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