Association between postoperative hyperactive delirium and major complications in elderly patients undergoing emergency hip fracture surgery: A large-scale cohort study

被引：1

作者：

Sun, Mingyang ^{[1
]}

Chen, Wan-Ming ^{[2
,3
]}

Wu, Szu-Yuan ^{[2
,3
,4
,5
,6
,7
,8
,9
,10
,11
]}

Zhang, Jiaqiang ^{[1
]}

机构：

[1] Zhengzhou Univ, Henan Prov Peoples Hosp, Peoples Hosp, Dept Anesthesiol & Perioperat Med, 7 Weiwu Rd, Zhengzhou 450003, Henan, Peoples R China

[2] Fu Jen Catholic Univ, Grad Inst Business Adm, Coll Management, Taipei, Taiwan

[3] Fu Jen Catholic Univ, Artificial Intelligence Dev Ctr, Taipei, Taiwan

[4] Asia Univ, Coll Hlth Sci, Dept Hlth & Nutr Biotechnol, Taichung, Taiwan

[5] Lotung Poh Ai Hosp, Lo Hsu Med Fdn, Big Data Ctr, Yilan, Taiwan

[6] Lotung Poh Ai Hosp, Lo Hsu Med Fdn, Div Radiat Oncol, 83 Nanchang St, Yilan 265, Yilan County, Taiwan

[7] Asia Univ, Coll Med & Hlth Sci, Dept Healthcare Adm, Taichung, Taiwan

[8] Lotung Poh Ai Hosp, Lo Hsu Med Fdn, Canc Ctr, Yilan, Taiwan

[9] Taipei Med Univ, Taipei Municipal Wan Fang Hosp, Ctr Reg Anesthesia & Pain Med, Taipei, Taiwan

[10] Fo Guang Univ, Coll Management, Dept Management, Yilan, Taiwan

[11] Asia Univ, Coll Med & Hlth Sci, Taichung, Taiwan

来源：

GERIATRICS & GERONTOLOGY INTERNATIONAL | 2024年 / 24卷 / 07期

关键词：

elderly; hip fracture; postoperative hyperactive delirium; postoperative major complications; propensity score matching; PROPENSITY SCORE METHODS; ADVERSE OUTCOMES; RISK-FACTORS; PREVENTION; IMPACT;

D O I：

10.1111/ggi.14894

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

AimThis cohort study aimed to explore the connection between postoperative hyperactive delirium and major complications in elderly patients undergoing emergency hip fracture surgery.MethodsElderly patients aged 65 years and older undergoing emergency hip fracture surgery were included in the study. The presence of postoperative hyperactive delirium was assessed, and logistic regression analysis, following propensity score matching, was conducted to investigate the association between postoperative hyperactive delirium and major complications occurring 30 and 90 days post-surgery. The analysis controlled for potential confounding factors.ResultsAfter propensity score matching, the analysis included 13 590 patients, equally distributed with 6795 in each group. The group experiencing postoperative hyperactive delirium exhibited a significantly elevated risk of 30-day postoperative complications, including acute renal failure, pneumonia, septicemia, and stroke, with adjusted odds ratios ranging from 1.64 to 2.39. Furthermore, this group displayed notably higher rates of 90-day postoperative complications, encompassing mortality, acute renal failure, pneumonia, septicemia, and stroke, with a significantly increased incidence of mortality within 90 days.ConclusionPostoperative hyperactive delirium in elderly patients undergoing emergency hip fracture surgery is significantly linked to an increased risk of major complications at both 30 and 90 days post-surgery. These findings underscore the critical importance of delirium prevention and management in this patient population, offering the potential to reduce the occurrence of postoperative complications. Geriatr Gerontol Int 2024; center dot center dot: center dot center dot-center dot center dot. Postoperative hyperactive delirium in elderly patients undergoing hip fracture surgery is associated with heightened risks of major complications at 30 and 90 days post-surgery, including mortality, renal failure, pneumonia, septicemia, and stroke. Delirium prevention and management are vital for reducing postoperative complications in this population. image

引用

页码：730 / 736

页数：7

共 40 条

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