Delirium Risk Factors in Elderly Patients Suffering from Femoral Neck Fractures - - - Faktori rizika za nastanak delirijuma kod starih bolesnika sa prelomom vrata butne kosti
Journal Title: Acta Facultatis Medicae Naissensis - Year 2018, Vol 35, Issue 1
Abstract
Delirium is a common complication in hospitalized elderly patients suffering from hip fractures. Consi-dering the growing incidence of delirium, understanding the risk factors for this condition is of great importance. The preoperative prevalence of delirium is approximately 4.4–35.6%, while postoperative prevalence is even higher - 4–53.3%. Various studies have shown the multifactorial etiology of delirium arising from a combination of predisposing and precipitating factors. The aim of this study was to explore these factors, which can contribute to delirium in patients with femoral neck fractures. This case control study included 62 patients diagnosed with femoral neck fractures, with 31 cases and 31 controls. Results have shown that the use of sedatives, especially benzodiazepines, and smoking increase the risk of delirium by five and sixteen times, respectively. - - - Delirijum je veoma česta medicinska komplikacija kod starijih hospitalizovanih bolesnika. Posle preloma kuka je jedna od najčešćih, sa rastućom prevalencijom preoperativno 4,4%-35,6% i incidencijom postoperativno 4-53,3%. Različite studije su pokazale multifaktorijalnu prirodu delirijuma kao kombinaciju predisponirajućih i precipitirajućih faktora. Cilj studije bio je da istraži navedene faktore koji utiču na pojavu delirijuma kod bolesnika sa prelomom vrata butne kosti. Ova studija tipa slučaj/kontrola je uključila ukupno 62 bolesnika sa prelomom vrata butne kosti, od kojih je 31 razvio delirijum. Pokazalo se da prethodna upotreba benzodiazepina i pušenje povećavaju rizik od nastanka delirijuma za 5, odnosno 16 puta.
Authors and Affiliations
Ivana Milićević, Slobodan Janković, Iva Grubor
Keywords
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- EP ID EP349151
- DOI 10.2478/afmnai-2018-0005
- Views 56
- Downloads 0
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