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The Risk Evaluation of Delirium in Elderly Patients with Lower Extremity Fractures
Journal of Korean Geriatric Psychiatry ; : 84-88, 2018.
Artigo em Coreano | WPRIM | ID: wpr-717848
ABSTRACT

OBJECTIVE:

Delirium is very common in orthopedic elderly patients and increase comorbidity and mortality rates. By controling the risk factors of delirium, prevention strategy can be effective and reduce negative outcomes. The purpose of this study was to explore the usefulness of delirium risk assessment with some simple collateral questionaires.

METHODS:

The subjects were 50 elderly patients (≥65 years old) who admitted to a department of orthopedic surgery for operations of lower extremity fractures. They were evaluated with Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Confusion Assessment Method and Korean Dementia Screening Questionnaire (KDSQ) by psychiatrists. The demographic data, medical histories, and orthopedic chart were checked through medical records of patients.

RESULTS:

27 subjects (54.0%) were diagnosed as delirium. There was a significant difference between delirium group and control group with all KDSQ scores. Depressive category of KDSQ score had the highest correlation (coefficient=0.399) and can be independent risk factor of delirium (p=0.045).

CONCLUSION:

Cognitive impairment and depressive symptoms have high correlation with delirium. We found that just a few questions of cognitive impairment and depressive symptoms by caregivers can evaluate the risk factors of delirium. The simple collateral questionaires can be useful tool for exploring delirium risk factors.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ortopedia / Psiquiatria / Comorbidade / Programas de Rastreamento / Prontuários Médicos / Fatores de Risco / Mortalidade / Cuidadores / Transtornos Cognitivos / Medição de Risco Tipo de estudo: Estudo de etiologia / Guia de Prática Clínica / Estudo prognóstico / Estudo de rastreamento Limite: Idoso / Humanos Idioma: Coreano Revista: Journal of Korean Geriatric Psychiatry Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ortopedia / Psiquiatria / Comorbidade / Programas de Rastreamento / Prontuários Médicos / Fatores de Risco / Mortalidade / Cuidadores / Transtornos Cognitivos / Medição de Risco Tipo de estudo: Estudo de etiologia / Guia de Prática Clínica / Estudo prognóstico / Estudo de rastreamento Limite: Idoso / Humanos Idioma: Coreano Revista: Journal of Korean Geriatric Psychiatry Ano de publicação: 2018 Tipo de documento: Artigo