The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management
Abstract Background Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium. Methods Hip f...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-021-04091-1 |
| _version_ | 1818643120914432000 |
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| author | Weifang Xu Haiping Ma Wang Li Chen Zhang |
| author_facet | Weifang Xu Haiping Ma Wang Li Chen Zhang |
| author_sort | Weifang Xu |
| collection | DOAJ |
| description | Abstract Background Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium. Methods Hip fracture patients admitted to our hospital for surgical treatment from March 2018 to March 2020 were identified as participants. The characteristics and laboratory examinations in patients with and without postoperative delirium were compared and analyzed. Logistic regression analyses were conducted to ascertain the independent risk factors, and the area under the curve (AUC) were calculated to analyze the predictive value. Results A total of 568 postoperative patients with hip fracture were included, the incidence of delirium in postoperative patients with hip fracture was 14.44 %. The preoperative albumin (OR 4.382, 2.501 ~ 5.538), history of delirium (OR 2.197, 1.094 ~ 3.253), TSH (OR1.245, 1.077 ~ 1.638), the resting score on the first postoperative day (OR1.235, 0.944 ~ 1.506) and age(OR1.185, 0.065 ~ 1.814) were the independent risk factors for the postoperative delirium in patients with hip fracture(all p < 0.05). The AUC of albumin, history of delirium, TSH, the resting score on the first postoperative day and age were 0.794, 0.754, 0.746, 0.721 and 0.689 respectively. Conclusions The incidence of delirium in postoperative patients with hip fracture is rather high, especially for patients with old age and history of delirium. Monitoring albumin, TSH and resting score may be beneficial to the management of postoperative delirium. |
| first_indexed | 2024-12-16T23:53:55Z |
| format | Article |
| id | doaj.art-cfc262fc9b0c4057b3fd7802969db119 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-16T23:53:55Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-cfc262fc9b0c4057b3fd7802969db1192022-12-21T22:11:16ZengBMCBMC Musculoskeletal Disorders1471-24742021-03-012211710.1186/s12891-021-04091-1The risk factors of postoperative delirium in patients with hip fracture: implication for clinical managementWeifang Xu0Haiping Ma1Wang Li2Chen Zhang3Department of Anesthesiology, The First affiliated hospital of XinJiang Medical UniversityDepartment of Anesthesiology, The First affiliated hospital of XinJiang Medical UniversityKey Laboratory of Xinjiang Metabolic Disease, Clinical Medical Research Institute, The First Affiliated hospital of XinJiang Medical UniversitySchool of Public Health, Xinjiang Medical UniversityAbstract Background Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium. Methods Hip fracture patients admitted to our hospital for surgical treatment from March 2018 to March 2020 were identified as participants. The characteristics and laboratory examinations in patients with and without postoperative delirium were compared and analyzed. Logistic regression analyses were conducted to ascertain the independent risk factors, and the area under the curve (AUC) were calculated to analyze the predictive value. Results A total of 568 postoperative patients with hip fracture were included, the incidence of delirium in postoperative patients with hip fracture was 14.44 %. The preoperative albumin (OR 4.382, 2.501 ~ 5.538), history of delirium (OR 2.197, 1.094 ~ 3.253), TSH (OR1.245, 1.077 ~ 1.638), the resting score on the first postoperative day (OR1.235, 0.944 ~ 1.506) and age(OR1.185, 0.065 ~ 1.814) were the independent risk factors for the postoperative delirium in patients with hip fracture(all p < 0.05). The AUC of albumin, history of delirium, TSH, the resting score on the first postoperative day and age were 0.794, 0.754, 0.746, 0.721 and 0.689 respectively. Conclusions The incidence of delirium in postoperative patients with hip fracture is rather high, especially for patients with old age and history of delirium. Monitoring albumin, TSH and resting score may be beneficial to the management of postoperative delirium.https://doi.org/10.1186/s12891-021-04091-1DeliriumHip fractureRiskSurgeryNursing care |
| spellingShingle | Weifang Xu Haiping Ma Wang Li Chen Zhang The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management BMC Musculoskeletal Disorders Delirium Hip fracture Risk Surgery Nursing care |
| title | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
| title_full | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
| title_fullStr | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
| title_full_unstemmed | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
| title_short | The risk factors of postoperative delirium in patients with hip fracture: implication for clinical management |
| title_sort | risk factors of postoperative delirium in patients with hip fracture implication for clinical management |
| topic | Delirium Hip fracture Risk Surgery Nursing care |
| url | https://doi.org/10.1186/s12891-021-04091-1 |
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