Postoperative Deliriumin Patients Undergoing Total Joint Arthroplasty: A Systematic Review

被引：69

作者：

Abd Razak, Hamid Rahmatullah Bin ^{[1
]}

Yung, Wai Yin Ambrose ^{[2
]}

机构：

[1] Singapore Gen Hosp, Dept Orthopaed Surg, Singapore 169608, Singapore

[2] Singapore Sports & Orthopaed Clin, Singapore, Singapore

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 08期

关键词：

postoperative; delirium; outcomestotal joint arthroplasty; outcomes; pre-screening; TOTAL KNEE REPLACEMENT; TOTAL HIP-REPLACEMENT; MINI-MENTAL-STATE; ELDERLY-PATIENTS; CONTROLLED-TRIAL; MORTALITY; SURGERY; IQCODE;

D O I：

10.1016/j.arth.2015.03.012

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We systematically reviewed the English-language literature to assess the incidence, risk factors and prevention strategies for postoperative delirium following total joint arthroplasty (TJA). A total of 10 studies were included in the final review, of which 3 (30%) were Level I studies, 6 were Level II (60%) studies and 1 (10%) was a Level III study. Incidence of postoperative delirium ranged from 5% to 14.3%. Pre-screening of patients was shown to reduce its incidence. Independent predictors include age, history of psychiatric illness, decreased functional status and decreased verbal memory. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1414 / 1417

页数：4

共 26 条

[1]

American Psychiatric Association, 1994, DIAGN STAT MAN, V4th

[2] Mortality after total hip replacement surgery A SYSTEMATIC REVIEW [J].

Berstock, J. R. ;

Beswick, A. D. ;

Lenguerrand, E. ;

Whitehouse, M. R. ;

Blom, A. W. .

BONE & JOINT RESEARCH, 2014, 3 (06) :175-182

[3]

Brady OH, 2000, CAN MED ASSOC J, V163, P1285

[4] The prevalence of cognitive dysfunction after conventional and computer-assisted total knee replacement [J].

Deo, H. ;

West, G. ;

Butcher, C. ;

Lewis, P. .

KNEE, 2011, 18 (02) :117-120

[5] MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].

FOLSTEIN, MF ;

FOLSTEIN, SE ;

MCHUGH, PR .

JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198

[6] Benzodiazepines in geriatrics [J].

Hofmann, W. .

ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE, 2013, 46 (08) :769-775

[7] Delirium and Its Prevention with Melatonergic Drugs [J].

Howland, Robert H. .

JOURNAL OF PSYCHOSOCIAL NURSING AND MENTAL HEALTH SERVICES, 2014, 52 (05) :13-16

[8] CLARIFYING CONFUSION - THE CONFUSION ASSESSMENT METHOD - A NEW METHOD FOR DETECTION OF DELIRIUM [J].

INOUYE, SK ;

VANDYCK, CH ;

ALESSI, CA ;

BALKIN, S ;

SIEGAL, AP ;

HORWITZ, RI .

ANNALS OF INTERNAL MEDICINE, 1990, 113 (12) :941-948

[9] Cognitive and Functional Predictors and Sequelae of Postoperative Delirium in Elderly Patients Undergoing Elective Joint Arthroplasty [J].

Jankowski, Christopher J. ;

Trenerry, Max R. ;

Cook, David J. ;

Buenvenida, Shonie L. ;

Stevens, Susanna R. ;

Schroeder, Darrell R. ;

Warner, David O. .

ANESTHESIA AND ANALGESIA, 2011, 112 (05) :1186-1193

[10] A SHORT-FORM OF THE INFORMANT QUESTIONNAIRE ON COGNITIVE DECLINE IN THE ELDERLY (IQCODE) - DEVELOPMENT AND CROSS-VALIDATION [J].

JORM, AF .

PSYCHOLOGICAL MEDICINE, 1994, 24 (01) :145-153

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