scholarly journals Risk factors associated with treatment of hyperactive postoperative delirium in elderly patients following hip fracture surgery under regional anesthesia: a nationwide population-based study

2021 ◽  
Author(s):  
Eun-Jin Ahn ◽  
Si Ra Bang
Keyword(s):  
Risk Factors ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Regional Anesthesia ◽  
Postoperative Delirium ◽  
Population Based ◽  
Population Based Study ◽  
Factors Associated ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals Risk factors associated with outcomes of hip fracture surgery in elderly patients

2015 ◽  
Vol 68 (6) ◽  
pp. 561 ◽  
Author(s):  
Byung Hoon Kim ◽  
Sangseok Lee ◽  
Byunghoon Yoo ◽  
Woo Yong Lee ◽  
Yunhee Lim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Factors Associated ◽  
Hip Fracture Surgery ◽  
Fracture Surgery ◽  
Surgery In Elderly

scholarly journals One-Year Readmission Risk and Mortality after Hip Fracture Surgery: A National Population-Based Study in Taiwan

2017 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Tien-Ching Lee ◽  
Pei-Shan Ho ◽  
Hui-Tzu Lin ◽  
Mei-Ling Ho ◽  
Hsuan-Ti Huang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Population Based ◽  
Population Based Study ◽  
National Population ◽  
Hip Fracture Surgery ◽  
One Year ◽  
Fracture Surgery ◽  
Readmission Risk

scholarly journals Frequency, Risk Factors, and Prognosis of Prolonged Delirium in Elderly Patients After Hip Fracture Surgery

2011 ◽  
Vol 469 (9) ◽  
pp. 2612-2620 ◽  
Author(s):  
Kyung-Hag Lee ◽  
Yong-Chan Ha ◽  
Young-Kyun Lee ◽  
Hyun Kang ◽  
Kyung-Hoi Koo
Keyword(s):  
Risk Factors ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Impact of length of red blood cells transfusion on postoperative delirium in elderly patients undergoing hip fracture surgery: A cohort study

Injury ◽  
2016 ◽  
Vol 47 (2) ◽  
pp. 408-412 ◽  
Author(s):  
Zhuang-Yun Zhang ◽  
Da-Peng Gao ◽  
Jiao-jiao Yang ◽  
Xiao-ru Sun ◽  
Hui Zhang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Red Blood Cells ◽  
Blood Cells ◽  
Postoperative Delirium ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Preoperative cardiac risk factors associated with in-hospital mortality in elderly patients without heart failure undergoing hip fracture surgery: a single-centre study

2020 ◽  
pp. postgradmedj-2020-138679
Author(s):  
Vedat Çiçek ◽  
Tufan Cinar ◽  
Mert Ilker Hayiroglu ◽  
Şahhan Kılıç ◽  
Nürgül Keser ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Hospital Mortality ◽  
Cardiac Risk ◽  
Cardiac Risk Factors ◽  
Hip Fracture Surgery ◽  
Single Centre Study ◽  
Fracture Surgery

IntroductionIn the present study, our aim was to ascertain the preoperative cardiac risk factors related to the in-hospital mortality in the elderly patients (aged over 65 years) who required preoperative cardiology consultation for hip fracture surgery.Material and MethodsThe present study was a retrospective, single-centre study, which enrolled consecutive elderly patients without heart failure scheduled for hip fracture surgery in our institution. In all patients, an anesthesiologist performed a detailed preoperative evaluation and decided the need for the cardiac consultation. Patients underwent preoperative cardiac evaluation by a trained cardiologist using the algorithms proposed in the recent preoperative guidelines. The in-hospital mortality was the main outcome of the study.ResultsIn total, 277 elderly patients undergoing hip fracture surgery were enrolled in this analysis. The overall in-hospital mortality rate was 12.1% (n=30 cases). In a multivariate analysis, we found that insulin dependency, cancer, urea, presence of atrial fibrillation (AF) (OR: 3.906; 95% CI 1.470 to 10.381; p=0.006) and pulmonary artery systolic pressure (PASP) (OR: 1.057; 95% CI 1.016 to 1.100; p=0.006) were the predictors of in-hospital mortality. The receiver operating characteristic curve analysis revealed that the optimal value of PASP in predicting the in-hospital mortality was 35 mm Hg (area under the curve=0.71; 95% CI 0.60 to 0.81, p<0.001) with sensitivity of 87.7% and specificity of 59.5%.ConclusionThe present research found that the preoperative cardiac risk factors, namely AF and PASP, might be associated with increased in-hospital mortality in elderly patients without heart failure undergoing hip fracture surgery.

Risk Analysis for Second Hip Fracture in Patients After Hip Fracture Surgery: A Nationwide Population-Based Study

2014 ◽  
Vol 15 (10) ◽  
pp. 725-731 ◽  
Author(s):  
Shih-Hsun Shen ◽  
Kuo-Chin Huang ◽  
Yao-Hung Tsai ◽  
Tien-Yu Yang ◽  
Mel S. Lee ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Risk Analysis ◽  
Population Based ◽  
Population Based Study ◽  
Hip Fracture Surgery ◽  
Second Hip Fracture ◽  
Fracture Surgery

scholarly journals Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery in the Sugammadex Era: A Retrospective Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Chung-Sik Oh ◽  
Ka Young Rhee ◽  
Tae-Gyoon Yoon ◽  
Nam-Sik Woo ◽  
Seung Wan Hong ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
General Anesthesia ◽  
Cholinesterase Inhibitor ◽  
Postoperative Delirium ◽  
Neuromuscular Block ◽  
Pulmonary Complications ◽  
Laboratory Findings ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Background.Residual neuromuscular block (NMB) after general anesthesia has been associated with pulmonary dysfunction and hypoxia, which are both associated with postoperative delirium (POD). We evaluated the effects of sugammadex on POD in elderly patients who underwent hip fracture surgery.Methods.Medical records of 174 consecutive patients who underwent hip fracture surgery with general anesthesia were reviewed retrospectively to compare the perioperative incidence of POD, pulmonary complications, time to extubation, incidence of hypoxia, and laboratory findings between patients treated with sugammadex and those treated with a conventional cholinesterase inhibitor.Results.The incidence of POD was not significantly different between the two groups (33.3% versus 36.5%, resp.;P=0.750). Postoperative pulmonary complications and laboratory findings did not showed significant intergroup difference. However, time to extubation (6 ± 3 versus 8 ± 3 min;P<0.001) and the frequency of postoperative hypoxia were significantly lower (23% versus 43%;P=0.010) in the sugammadex group than in the conventional cholinesterase inhibitor group.Conclusion.Sugammadex did not reduce POD or pulmonary complications compared to conventional cholinesterase inhibitors, despite reducing time to extubation and postoperative hypoxia in elderly patients who underwent hip fracture surgery under general anesthesia.

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