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Sökning: WFRF:(Bruni Adriana Antonella) > (2014) > Duration of Postope...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003818naa a2200517 4500
001oai:DiVA.org:umu-93235
003SwePub
008140915s2014 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-932352 URI
0247 a https://doi.org/10.1111/jgs.128852 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Bellelli, Giuseppe4 aut
2451 0a Duration of Postoperative Delirium Is an Independent Predictor of 6-Month Mortality in Older Adults After Hip Fracture
264 c 2014-06-02
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Geriatrik0 (SwePub)302222 hsv//swe
650 7a 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
7001 a Mazzola, Paolo4 aut
7001 a Morandi, Alessandro4 aut
7001 a Bruni, Adriana4 aut
7001 a Carnevali, Lucio4 aut
7001 a Corsi, Maurizio4 aut
7001 a Zatti, Giovanni4 aut
7001 a Zambon, Antonella4 aut
7001 a Corrao, Giovanni4 aut
7001 a Olofsson, Birgittau Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)biaoln00
7001 a Gustafson, Yngveu Umeå universitet,Geriatrik4 aut0 (Swepub:umu)yngu0001
7001 a Annoni, Giorgio4 aut
7102 a Umeå universitetb Institutionen för omvårdnad4 org
7730 t Journal of The American Geriatrics Societyd : Wileyg 62:7, s. 1335-1340q 62:7<1335-1340x 0002-8614x 1532-5415
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-93235
8564 8u https://doi.org/10.1111/jgs.12885

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