Search: onr:"swepub:oai:DiVA.org:umu-93235" > Duration of Postope...
Fältnamn | Indikatorer | Metadata |
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000 | 03818naa a2200517 4500 | |
001 | oai:DiVA.org:umu-93235 | |
003 | SwePub | |
008 | 140915s2014 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-932352 URI |
024 | 7 | a https://doi.org/10.1111/jgs.128852 DOI |
040 | a (SwePub)umu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Bellelli, Giuseppe4 aut |
245 | 1 0 | a Duration of Postoperative Delirium Is an Independent Predictor of 6-Month Mortality in Older Adults After Hip Fracture |
264 | c 2014-06-02 | |
264 | 1 | b Wiley,c 2014 |
338 | a print2 rdacarrier | |
520 | a OBJECTIVES: To evaluate the association between number of days with delirium and 6-month mortality in elderly adults after hip fracture surgery. DESIGN: Prospective cohort study with 6-month follow-up. SETTING: Orthogeriatric Unit (OGU). PARTICIPANTS: Individuals (mean age = 84.3 +/- 6.4) admitted to the OGU between October 2011 and April 2013 with hip fracture (N = 199). MEASUREMENTS: Postoperative delirium (POD) was assessed daily using the Confusion Assessment Method algorithm and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria. Multivariable Cox regression models were used to evaluate the association between POD of and 6-month mortality after surgery, after adjustment for covariates including age, prefracture residence, Katz activity of daily living score, New Mobility score, diagnosis of prefracture dementia, American Society of Anesthesiologists score, albumin serum levels, Charlson Comorbidity Index, and length of OGU stay. RESULTS: Fifty-seven participants (28.6%) developed POD. In the 6-month period after surgery, 35 (17.6%) participants died: 16 of 57 (28.1%) with POD and 19 / of 142 (13.4%) with no POD. The average duration of POD was 2.0 +/- 3.2 days for participants who died and 0.7 +/- 1.8 days for those who survived (P < .001). After adjusting for covariates, each day of POD in the OGU increased the hazard of dying at 6 months by 17% (hazard ratio = 1.17, 95% confidence interval = 1.07-1.28). CONCLUSION: In older adults undergoing hip fracture surgery, duration of POD is an important prognostic factor for 6-month mortality. Efforts to reduce duration of POD are therefore crucial for these individuals. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Geriatrik0 (SwePub)302222 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Geriatrics0 (SwePub)302222 hsv//eng |
653 | a delirium duration | |
653 | a delirium | |
653 | a orthogeriatric | |
653 | a hip fracture | |
653 | a elderly | |
653 | a mortality | |
700 | 1 | a Mazzola, Paolo4 aut |
700 | 1 | a Morandi, Alessandro4 aut |
700 | 1 | a Bruni, Adriana4 aut |
700 | 1 | a Carnevali, Lucio4 aut |
700 | 1 | a Corsi, Maurizio4 aut |
700 | 1 | a Zatti, Giovanni4 aut |
700 | 1 | a Zambon, Antonella4 aut |
700 | 1 | a Corrao, Giovanni4 aut |
700 | 1 | a Olofsson, Birgittau Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)biaoln00 |
700 | 1 | a Gustafson, Yngveu Umeå universitet,Geriatrik4 aut0 (Swepub:umu)yngu0001 |
700 | 1 | a Annoni, Giorgio4 aut |
710 | 2 | a Umeå universitetb Institutionen för omvårdnad4 org |
773 | 0 | t Journal of The American Geriatrics Societyd : Wileyg 62:7, s. 1335-1340q 62:7<1335-1340x 0002-8614x 1532-5415 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-93235 |
856 | 4 8 | u https://doi.org/10.1111/jgs.12885 |
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