고령 환자에서 대퇴골 전자간 골절 후 발생한 섬망Delirium after Intertrochanteric Fractures of Femur in Elderly Patients
- Other Titles
- Delirium after Intertrochanteric Fractures of Femur in Elderly Patients
- Authors
- 강규복; 서동훈; 오성록
- Issue Date
- 2011
- Publisher
- 대한골절학회
- Keywords
- Delirium; Intertrochanteric fracture; Incidence; Risk factors; 섬망; 대퇴골 전자간 골절; 발병율; 위험인자
- Citation
- 대한골절학회지, v.24, no.2, pp.131 - 137
- Indexed
- KCI
- Journal Title
- 대한골절학회지
- Volume
- 24
- Number
- 2
- Start Page
- 131
- End Page
- 137
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/113923
- ISSN
- 1225-1682
- Abstract
- Purpose: To evaluate the incidence, risk factors and prognosis of delirium in elderly patients with intertrochanteric fractures of femur.
Materials and Methods: 162 patients who underwent operation for intertrochanteric fracture of femur from July 2005 to January 2007 were reviewed retrospectively. Delirium was diagnosed by using Confusion Assessment Method (CAM). Medical records were reviewed for the information of the patients, Gross motor function classification of Palisano et al. was used for the evaluation of ambulatory status. Univariate analysis and multivariate analysis were done to find out the risk factors.
Results: 2 cases out of 162 (1.2%) met the criteria of delirium at admission, and 39 cases (24.1%) after surgery. Univariate analysis and multivariate analysis identified age, hematocrit, dementia, the duration of opiate use, and pulmonary complication as risk factors. Hospital stay was longer and postoperative ambulatory status was worse in the patients with delirium.
Conclusion: Delirium is a frequent complication of intertrochanteric fractures of old age and associated with worse results. Cognitive function as well as physical status should be evaluated before and after surgery. Delirium needs more active prevention and treatment for better results.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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