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

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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.

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Acknowledgments

We would like to express our thanks to the recruited participants.

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Authors and Affiliations

  1. Surgery Intensive Care Unit, China-Japan Friendship Hospital, No. 2 Yinghuadong Street, Beijing, China

    Li Tao

  2. Orthopaedic Department, China-Japan Friendship Hospital, Beijing, China

    Xu Xiaodong & Meng Qiang

  3. Psychiatric Department, China-Japan Friendship Hospital, Beijing, China

    Li Jiao & Zhao Xu

Authors
  1. Li Tao
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  2. Xu Xiaodong
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  3. Meng Qiang
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  4. Li Jiao
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  5. Zhao Xu
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Corresponding author

Correspondence to Li Tao.

Ethics declarations

The study was approved by the Ethics Board of China-Japan Friendship Hospital.

Conflict of interest

The authors declare that they have no conflict of interest.

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Tao, L., Xiaodong, X., Qiang, M. et al. Prediction of postoperative delirium by comprehensive geriatric assessment among elderly patients with hip fracture. Ir J Med Sci 188, 1311–1315 (2019). https://doi.org/10.1007/s11845-019-02011-w

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  • DOI: https://doi.org/10.1007/s11845-019-02011-w

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