Delirium after Intertrochanteric Fractures of Femur in Elderly Patients
Journal of the Korean Fracture Society
; : 131-137, 2011.
Article
in Ko
| WPRIM
| ID: wpr-11170
Responsible library:
WPRO
ABSTRACT
PURPOSE: To evaluate the incidence, risk factors and prognosis of delirium in elderly patients with intertrochanteric fractures of femur. MATERIALS AND METHODS: 162 patients who underwent operation for intertrochanteric fracture of femur from July 2005 to January 2007 were reviewed retrospectively. Delirium was diagnosed by using Confusion Assessment Method (CAM). Medical records were reviewed for the information of the patients, Gross motor function classification of Palisano et al. was used for the evaluation of ambulatory status. Univariate analysis and multivariate analysis were done to find out the risk factors. RESULTS: 2 cases out of 162 (1.2%) met the criteria of delirium at admission, and 39 cases (24.1%) after surgery. Univariate analysis and multivariate analysis identified age, hematocrit, dementia, the duration of opiate use, and pulmonary complication as risk factors. Hospital stay was longer and postoperative ambulatory status was worse in the patients with delirium. CONCLUSION: Delirium is a frequent complication of intertrochanteric fractures of old age and associated with worse results. Cognitive function as well as physical status should be evaluated before and after surgery. Delirium needs more active prevention and treatment for better results.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Prognosis
/
Medical Records
/
Incidence
/
Multivariate Analysis
/
Retrospective Studies
/
Risk Factors
/
Delirium
/
Dementia
/
Femur
/
Hematocrit
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
Language:
Ko
Journal:
Journal of the Korean Fracture Society
Year:
2011
Type:
Article