Status and influencing factors of postoperative delirium in elderly patients with hip fracture
10.3760/cma.j.cn115682-20210510-02028
- VernacularTitle:老年髋部骨折患者术后谵妄发生现况及影响因素分析
- Author:
Huiling YUE
1
;
Sanlian HU
;
Yan PAN
;
Ling HU
Author Information
1. 上海市第六人民医院骨科，上海 200233
- Keywords:
Aged;
Hip fracture;
Delirium;
Risk factors
- From:
Chinese Journal of Modern Nursing
2022;28(9):1172-1176
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk factors of postoperative delirium in elderly patients with hip fracture.Methods:Using the convenient sampling method, a total of 141 elderly patients with hip fractures who were admitted to Trauma Department of Shanghai Sixth People's Hospital from November 2018 to April 2019 were selected as the research objects. The incidence of postoperative delirium was assessed by Confusion Assessment Method (CAM) , and patients were divided into the delirium group ( n=40) and the non-delirium group ( n=101) . Binomial Logistic regression analysis was used to analyze the risk factors of postoperative delirium in elderly patients with hip fracture. Results:Postoperative delirium occurred in 40 of 141 patients (28.37%) . Binomial logistic regression analysis showed that age, history of stroke, preoperative serum albumin level, intraoperative hypoxemia, and ICU stay were influencing factors for postoperative delirium in elderly patients with hip fracture ( P<0.05) . Conclusions:Postoperative delirium is more common in elderly patients with hip fractures. In addition, advanced age, history of stroke, high preoperative serum albumin level, intraoperative hypoxemia, long ICU stay were risk factors of postoperative delirium occurrence.
