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Ir J Med Sci. 2019 Mar 26. doi: 10.1007/s11845-019-02011-w. [Epub ahead of print]

Prediction of postoperative delirium by comprehensive geriatric assessment among elderly patients with hip fracture.

Author information

1
Surgery Intensive Care Unit, China-Japan Friendship Hospital, No. 2 Yinghuadong Street, Beijing, China. littlestudy@126.com.
2
Orthopaedic Department, China-Japan Friendship Hospital, Beijing, China.
3
Psychiatric Department, China-Japan Friendship Hospital, Beijing, China.

Abstract

BACKGROUND:

The purpose of this study is to investigate whether the preoperative comprehensive geriatric assessment (CGA) would predict postoperative delirium (POD) in elderly patients with hip fracture.

METHODS:

This is an observational study, performed in a tertiary hospital from June 2014 to May 2018, which enrolled patients with hip fracture aged over 65 years. The comprehensive geriatric assessment for recruited patients was carried out before surgery. POD was recorded prospectively until discharge. Delirium was diagnosed according to the Confusion Assessment Method (CAM) algorithm.

RESULTS:

POD occurred in 22.09% of the 507 patients who underwent hip surgery. The Barthel index, Mini-Mental State Examination (MMSE), instrumental activities of daily living (IADL), vitality index, and Geriatric Depression Scale (GDS) results were related to the occurrence of POD. All of them were independent factors related to the occurrence of POD after adjusting other traditional risk factors.

CONCLUSIONS:

The comprehensive geriatric assessment before hip fracture surgery can predict the occurrence of POD in elderly patients.

KEYWORDS:

Comprehensive geriatric assessment; Elderly; Hip fracture; Postoperative delirium

PMID:
30915678
DOI:
10.1007/s11845-019-02011-w

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