Etiology and Related Factors of Postoperative Delirium in Orthopedic Surgery

被引:27
|
作者
Song, Kyung-Jin [1 ]
Ko, Jong-Hyun [1 ]
Kwon, Tae-Young [1 ]
Choi, Byung-Wan [2 ]
机构
[1] Chonbuk Natl Univ, Inst Med Sci, Dept Orthoped Surg, Med Sch, Jeonju, South Korea
[2] Inje Univ, Haeundae Paik Hosp, Dept Orthoped Surg, Med Sch, 875 Haeun Daero, Busan 48108, South Korea
关键词
Delirium; Orthopedic surgery; Etiology; Risk factor; PREVENTION; MANAGEMENT; RISK; DIAGNOSIS;
D O I
10.4055/cios.2019.11.3.297
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Delirium is a serious complication for elderly patients after orthopedic surgery. The purpose of this study was to assess the etiology and related factors of delirium after orthopedic surgery in Korea. Methods: We retrospectively reviewed the medical records of 3,611 patients over 50 years who had orthopedic surgery. The age of patients (50s, 60s, 70s, and > 80s), type of anesthesia (general, spinal, and local), operation time (more than 2 hours vs. less than 2 hours), surgical site (spine, hip, knee, or others), and etiology (trauma or disease) were compared to determine possible risk factors of delirium after orthopedic surgery. Results: Of 3,611 patients, 172 (4.76%) were diagnosed with delirium after orthopedic surgery. Postoperative delirium occurred in 1.18% in their 50s, 3.86% in their 60s, 8.49% in their 70s, and 13.04% in > 80s (p < 0.001). According to anesthesia type, 6.50% of postoperative delirium occurred after general anesthesia, 0.77% after spinal anesthesia, and 0.47% after local anesthesia (p < 0.001). More than 2 hours of operation was associated with higher occurrence of delirium than less than 2 hours was (5.88% vs. 4.13%, p = 0.017). For the etiology, 8.17% were trauma cases and 3.02% were disease (p < 0.001). Postoperative delirium occurred in 22 of 493 patients (4.46%) after spine surgery, 18 of 355 patients (5.07%) after hip surgery, 17 of 394 patients (4.31%) after knee surgery, and 15 of 1,145 patients (1.31%) after surgery at other sites (p < 0.001). Conclusions: Postoperative delirium was more common in older patients who had surgery under general anesthesia, whose surgery took more than 2 hours, and who were hospitalized through the emergency room.
引用
收藏
页码:297 / 301
页数:5
相关论文
共 50 条
  • [1] Risk factors and prevention for postoperative delirium after orthopedic surgery
    Wang, Li-Hong
    Jin, Ting-Ting
    Zhang, Xiao-Wei
    Xu, Guo-Hong
    [J]. INDIAN JOURNAL OF PSYCHIATRY, 2021, 63 (06) : 554 - 559
  • [2] Postoperative delirium after elective orthopedic surgery
    Contín, AM
    Perez-Jara, J
    Alonso-Contín, A
    Enguix, A
    Ramos, F
    [J]. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2005, 20 (06) : 595 - 597
  • [3] Postoperative delirium after major orthopedic surgery
    Urban, Michael K.
    Sasaki, Mayu
    Schmucker, Abigail M.
    Magid, Steven K.
    [J]. WORLD JOURNAL OF ORTHOPEDICS, 2020, 11 (02): : 90 - 106
  • [4] Postoperative delirium in geriatric patients with thoracic and orthopedic surgery
    Sun, Zhongpeng
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2024, 94
  • [5] Incidence of Postoperative Delirium in a Specialized Hospital for Orthopedic Surgery
    Thannhauser, Jorien
    Benraad, Carolien E. M.
    Jacobs, Wilco C. H.
    van Limbeek, Jacques
    Rikkert, Marcel G. M. Olde
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2009, 57 (07) : 1309 - 1311
  • [6] Risk Factors for Postoperative Delirium in Abdominal Surgery: A Proposal of a Postoperative Delirium Risk Score in Abdominal Surgery
    Miyagawa, Yasuhiro
    Yokoyama, Yukihiro
    Fukuzawa, Shota
    Fukata, Shinji
    Ando, Masahiko
    Kawamura, Takashi
    Yamada, Kiyofumi
    Nagino, Masato
    [J]. DIGESTIVE SURGERY, 2017, 34 (02) : 95 - 102
  • [7] Risk factors for postoperative delirium in vascular surgery
    Schneider, F
    Böhner, H
    Habel, U
    Salloum, JB
    Stierstorfer, A
    Hummel, TC
    Miller, C
    Friedrichs, R
    Müller, EE
    Sandmann, W
    [J]. GENERAL HOSPITAL PSYCHIATRY, 2002, 24 (01) : 28 - 34
  • [8] Predictive factors for postoperative delirium in thoracic surgery
    Yaguchi, Takashi
    Ichinokawa, Hideomi
    Kirino, Eiji
    Suzuki, Mikiko
    Komori, Kazuyuki
    Matsunaga, Takeshi
    Takamochi, Kazuya
    Suzuki, Kenji
    [J]. GENERAL THORACIC AND CARDIOVASCULAR SURGERY, 2024, 72 (09) : 599 - 607
  • [9] Postoperative delirium: etiology and management
    McDaniel, Mathew
    Brudney, Charles
    [J]. CURRENT OPINION IN CRITICAL CARE, 2012, 18 (04) : 372 - 376
  • [10] Postoperative delirium - a challenge for the orthopedic team
    Gustafson, Y
    [J]. ACTA ORTHOPAEDICA SCANDINAVICA, 2004, 75 (04): : 375 - 377