Incidence, clinical features and subtypes of delirium in elderly patients treated for hip fractures

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Fältnamn	Indikatorer	Metadata
000		02675naa a2200301 4500
001		oai:prod.swepub.kib.ki.se:1956595
003		SwePub
008		240701s2005 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:19565952 URI
024	7	a https://doi.org/10.1159/0000873112 DOI
040		a (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Santos, FS4 aut
245	1 0	a Incidence, clinical features and subtypes of delirium in elderly patients treated for hip fractures
264		c 2005-09-12
264	1	b S. Karger AG,c 2005
520		a <i>Objective:</i> To describe the incidence, risk factors and clinical features (subtypes) of delirium during the postoperative period after hip fracture surgery in elderly patients. <i>Design:</i> Prospective study. <i>Methods:</i> Thirty-four consecutive patients (9 men and 25 women) were included in this study between June 16 to July 14, 2003. All patients underwent surgery for a fractured neck of femur and were pre- and postoperatively cared for at a combined geriatric/orthopedic ward. <i>Assessment:</i> The diagnosis of delirium was based on the criteria of the DSM-IV and the Confusion Assessment Method Scale. Subtypes of delirium were classified according to the criteria proposed by Lipowski: hyperactive-hyperalert (or agitated), hypoactive-hypoalert (somnolent) and mixed delirium. <i>Results:</i> Fifty-five percent (n = 19) of the 34 patients developed delirium after surgery. The development of delirium was associated with the medication midazolam taken perioperatively. Nine (47%) of the delirious patients had a hyperactive type of delirium; 5 (26%) developed a hypoactive delirium, and 5 (26%) had a mixed type. We did not find any association among subtypes of delirium and clinical features. <i>Conclusions:</i> Delirium is a common complication in the postoperative period of elderly patients treated for hip fractures. The use of midazolam in the perioperative period increased the risk of developing postoperative delirium. Thehyperactive type of delirium was the most common subtype of delirium.
700	1	a Wahlund, LOu Karolinska Institutet4 aut
700	1	a Varli, F4 aut
700	1	a Velasco, IT4 aut
700	1	a Jonhagen, MEu Karolinska Institutet4 aut
710	2	a Karolinska Institutet4 org
773	0	t Dementia and geriatric cognitive disordersd : S. Karger AGg 20:4, s. 231-237q 20:4<231-237x 1420-8008x 1421-9824
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:1956595
856	4 8	u https://doi.org/10.1159/000087311

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Av författaren/redakt...: Santos, FS; Wahlund, LO; Varli, F; Velasco, IT; Jonhagen, ME

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