Delirium prevention and treatment in elderly hip fracture

被引:8
作者
Jose Robles, Maria [1 ]
Formiga, Francesc [2 ]
Teresa Vidan, M. [3 ]
机构
[1] Ctr Forum, Serv Geriatr, Unidad Convalecencia, Barcelona, Spain
[2] Hosp Univ Bellvitge, Med Interna Serv, Unidad Geriatr, Barcelona, Spain
[3] Hosp Gen Univ Gregorio Maranon, Serv Geriatr, Madrid, Spain
来源
MEDICINA CLINICA | 2014年 / 142卷 / 08期
关键词
Postoperative; Delirium; Hip fracture; Prevention and control; Treatment; HOSPITALIZED OLDER PATIENTS; FEMORAL-NECK FRACTURE; POSTOPERATIVE DELIRIUM; RANDOMIZED-TRIAL; INTERVENTION; MANAGEMENT; SURGERY; RISK; MULTIDISCIPLINARY; MULTIFACTORIAL;
D O I
10.1016/j.medcli.2013.04.022
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The fracture of the proximal femur or hip fracture in the elderly usually happens after a fall and carries a high morbidity and mortality. One of the most common complications during hospitalization for hip fracture is the onset of delirium or acute confusional state that in elderly patients has a negative impact on the hospital stay, and prognosis, worsening functional ability, cognitive status and mortality. Also the development of delirium during hospitalization increases health care costs. Strategies to prevent and treat delirium during hospitalization for hip fracture have been less studied. In this context, this paper aims to conduct a review of the literature on strategies that exist in the prevention and treatment of delirium in elderly patients with hip fracture. (C) 2013 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:365 / 369
页数:5
相关论文
共 41 条
[11]  
Hughson Jason, 2011, Hosp Pract (1995), V39, P52, DOI 10.3810/hp.2011.02.374
[12]   Current concepts - Delirium in older persons [J].
Inouye, SK .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 354 (11) :1157-1165
[13]   A multicomponent intervention to prevent delirium in hospitalized older patients [J].
Inouye, SK ;
Bogardus, ST ;
Charpentier, PA ;
Leo-Summers, L ;
Acampora, D ;
Holford, TR ;
Cooney, LW .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (09) :669-676
[14]  
Jagmin M G, 1998, Orthop Nurs, V17, P32
[15]   Haloperidol prophylaxis for elderly hip-surgery patients at risk for delirium: A randomized placebo-controlled study [J].
Kalisvaart, KJ ;
de Jonghe, JFM ;
Bogaards, MJ ;
Vreeswijk, R ;
Egberts, TCG ;
Burger, BJ ;
Eikelenboom, P ;
van Gool, WA .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2005, 53 (10) :1658-1666
[16]  
Kyziridis TC, 2006, PSYCHOSOC MED, V3, pDoc01
[17]  
Lundström M, 2007, AGING CLIN EXP RES, V19, P178
[18]   Evidence-based guidelines for the management of hip fractures in older persons: an update [J].
Mak, Jenson C. S. ;
Cameron, Ian D. ;
March, Lyn M. .
MEDICAL JOURNAL OF AUSTRALIA, 2010, 192 (01) :37-41
[19]   Pilot Randomized Trial of Donepezil Hydrochloride for Delirium After Hip Fracture [J].
Marcantonio, Edward R. ;
Palihnich, Kerry ;
Appleton, Paul ;
Davis, Roger B. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2011, 59 :S282-S288
[20]   Reducing delirium after hip fracture: A randomized trial [J].
Marcantonio, ER ;
Flacker, JM ;
Wright, RJ ;
Resnick, NM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2001, 49 (05) :516-522