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Delirium before and after operation for femoral neck fracture
Piteå River Valley Hospital, Department of Rehabilitation.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
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2001 (English)In: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 49, no 10, p. 1335-40Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim of this study was to investigate the differences between preoperative and postoperative delirium regarding predisposing, precipitating factors and outcome in older patients admitted to hospital with femoral neck fractures. DESIGN: A prospective clinical assessment of patients treated for femoral neck fractures. SETTING: Department of orthopedic surgery at Umea University Hospital, Sweden. PARTICIPANTS: One hundred one patients, age 65 and older admitted to the hospital for treatment of femoral neck fractures. MEASUREMENTS: The Organic Brain Syndrome (OBS) Scale. RESULTS: Thirty patients (29.7%) were delirious before surgery and another 19 (18.8%) developed delirium postoperatively. Of those who were delirious preoperatively, all but one remained delirious postoperatively. The majority of those delirious before surgery were demented, had been treated with drugs with anticholinergic properties (mainly neuroleptics), had had previous episodes of delirium, and had fallen indoors. Patients who developed postoperative delirium had perioperative falls in blood pressure and had more postoperative complications such as infections. Male patients were more often delirious both preoperatively and postoperatively. Patients with preoperative delirium were more often discharged to institutional care and had poorer walking ability both on discharge and after 6 months than did patients with postoperative delirium only. CONCLUSIONS: Because preoperative and postoperative delirium are associated with different risk factors it is necessary to devise different strategies for their prevention

Place, publisher, year, edition, pages
2001. Vol. 49, no 10, p. 1335-40
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URN: urn:nbn:se:ltu:diva-9261DOI: 10.1046/j.1532-5415.2001.49261.xLocal ID: 7d926380-8e82-11db-8975-000ea68e967bOAI: oai:DiVA.org:ltu-9261DiVA, id: diva2:982199
Note
Upprättat; 2001; 20061218 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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Brännström, Benny

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CiteExportLink to record
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  • apa
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