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Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures.
Scand J Caring Sci 2005; 19(2):119-27SJ

Abstract

The aim of this study was to describe risk factors for delirium and the impact of delirium on the rehabilitation outcome for patients operated for femoral neck fractures. Sixty-one patients, aged 70 years or older, consecutively admitted to the Department of Orthopaedic Surgery at Umeå University Hospital, Sweden for femoral neck fractures were assessed and interviewed during hospitalization and at follow up 4 months after surgery. Delirium occurred in 38 (62%) patients and those who developed delirium were more often demented and/or depressed. Patients with delirium were longer hospitalized and they were more dependent in their activity of daily living (ADL) on discharge and after 4 months. They had poorer psychological well-being and more medical complications than the nondelirious. A large proportion of the patients who developed delirium did not regain their previous walking ability and could not return to their prefracture living accommodation. Delirium after hip fracture surgery is very common especially among patients with dementia or depression. This study shows that delirium has a serious impact on the rehabilitation outcome from both short- and long-term perspectives. Because delirium can be prevented and treated, it is important to improve the care of elderly patients with hip fractures.

Authors+Show Affiliations

Department of Surgical and Perioperative Sciences, Orthopaedics, Umeå University, Umeå, Sweden. birgitta.olofsson@germed.umu.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15877637

Citation

Olofsson, Birgitta, et al. "Delirium Is Associated With Poor Rehabilitation Outcome in Elderly Patients Treated for Femoral Neck Fractures." Scandinavian Journal of Caring Sciences, vol. 19, no. 2, 2005, pp. 119-27.
Olofsson B, Lundström M, Borssén B, et al. Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures. Scand J Caring Sci. 2005;19(2):119-27.
Olofsson, B., Lundström, M., Borssén, B., Nyberg, L., & Gustafson, Y. (2005). Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures. Scandinavian Journal of Caring Sciences, 19(2), pp. 119-27.
Olofsson B, et al. Delirium Is Associated With Poor Rehabilitation Outcome in Elderly Patients Treated for Femoral Neck Fractures. Scand J Caring Sci. 2005;19(2):119-27. PubMed PMID: 15877637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures. AU - Olofsson,Birgitta, AU - Lundström,Maria, AU - Borssén,Bengt, AU - Nyberg,Lars, AU - Gustafson,Yngve, PY - 2005/5/10/pubmed PY - 2005/7/20/medline PY - 2005/5/10/entrez SP - 119 EP - 27 JF - Scandinavian journal of caring sciences JO - Scand J Caring Sci VL - 19 IS - 2 N2 - The aim of this study was to describe risk factors for delirium and the impact of delirium on the rehabilitation outcome for patients operated for femoral neck fractures. Sixty-one patients, aged 70 years or older, consecutively admitted to the Department of Orthopaedic Surgery at Umeå University Hospital, Sweden for femoral neck fractures were assessed and interviewed during hospitalization and at follow up 4 months after surgery. Delirium occurred in 38 (62%) patients and those who developed delirium were more often demented and/or depressed. Patients with delirium were longer hospitalized and they were more dependent in their activity of daily living (ADL) on discharge and after 4 months. They had poorer psychological well-being and more medical complications than the nondelirious. A large proportion of the patients who developed delirium did not regain their previous walking ability and could not return to their prefracture living accommodation. Delirium after hip fracture surgery is very common especially among patients with dementia or depression. This study shows that delirium has a serious impact on the rehabilitation outcome from both short- and long-term perspectives. Because delirium can be prevented and treated, it is important to improve the care of elderly patients with hip fractures. SN - 0283-9318 UR - https://www.unboundmedicine.com/medline/citation/15877637/Delirium_is_associated_with_poor_rehabilitation_outcome_in_elderly_patients_treated_for_femoral_neck_fractures_ L2 - https://doi.org/10.1111/j.1471-6712.2005.00324.x DB - PRIME DP - Unbound Medicine ER -