Relationship between modified Frailty Index and development of delirium after artificial joint re-placement in elderly patients / 中华麻醉学杂志
Chinese Journal of Anesthesiology
;
(12): 1158-1161, 2019.
Artículo
en Chino
| WPRIM
| ID: wpr-824678
ABSTRACT
Objective To evaluate the relationship between modified Frailty Index(mFI)and de-velopment of delirium after artificial joint replacement in elderly patients.Methods Elderly patients(aged≥60 yr)who scheduled for elective hip or knee replacement,were enrolled.Preoperative frailty was assessed using the mFI scale.All the patients received surgery under combined spinal-epidural anesthesia.Primary outcome was the incidence of delirium within 5 days after operation,and delirium was assessed by Confusion Assessment Method or Confusion Assessment Method-Intensive Care Unit.The patients were di-vided into delirium group and non-delirium group according to whether delirium occurred or not.Results A total of 620 patients were included in the study,the mFI was 0.09(0.18),and the incidence of delirium within 5 days after surgery was 8.5%.The results of multivariate logistic regression analyses showed that in-crease in age(OR 1.068,95%CI 1.018-1.120,P=0.007),higher postoperative consumption of mor-phine(OR 1.089,95%CI 1.051-1.128,P<0.01)and higher mFI(OR 2.465,95%CI 1.636-3.714,P<0.01)were the independent risk factors for postoperative delirium.Conclusion Higher mFI is the independent risk factor for delirium after artificial joint replacement in elderly patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Factores de riesgo
Idioma:
Chino
Revista:
Chinese Journal of Anesthesiology
Año:
2019
Tipo del documento:
Artículo
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