Predicting post-operative delirium in elective orthopaedic patients: The Delirium Elderly At-Risk (DEAR) instrument [1]

Age and Ageing

Volumn 34, Issue 2, 2005, Pages 169-171

  Freter, Susan H ^a   Dunbar, Michael J ^a   MacLeod, Heather ^b   Morrison, Michelle ^c   MacKnight, Chris ^a   Rockwood, Kenneth ^a  

^a DALHOUSIE UNIVERSITY   (Canada)

^b Capital District Health Authority   (Canada)

^c Department of Occupational Therapy ^*  (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTHROPLASTY; CONFIDENCE INTERVAL; CONTROLLED STUDY; DELIRIUM; ELDERLY CARE; FEMALE; HIGH RISK POPULATION; HUMAN; LETTER; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; ORTHOPEDIC SURGERY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RELIABILITY; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; STATISTICAL ANALYSIS; STATISTICAL SIGNIFICANCE; VALIDATION PROCESS;

AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; DELIRIUM; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT CARE TEAM; POSTOPERATIVE COMPLICATIONS; REFERRAL AND CONSULTATION; RISK FACTORS;

EID: 14744283756     PISSN: 00020729     EISSN: None     Source Type: Journal    
DOI: 10.1093/ageing/afh245     Document Type: Letter

References (30)

1. Cole MG, Primeau F, McCusker J. Effectiveness of interventions to prevent delirium in hospitalized patients: a systematic review. Can Med Assoc J 1996; 155: 1263-8.
2. Edlund A, Lundström M, Lundström G, Hedqvist B, Gustafson Y. Clinical profile of delirium in patients treated for femoral neck fractures. Dement Geriatr Cogn Disord 1999; 10: 325-9.
3. Galanakis P, Bickel H, Gradinger R, Von Gumppenberg S, Förstl H. Acute confusional state in the elderly following hip surgery: incidence risk factors and complications. Int J Geriatr Psychiatry 2001; 16: 349-55.
4. Dupplis GS, Wikblad K. Acute confusional states in patients undergoing hip surgery. Gerontology 2000; 46: 36-43.
5. Litaker D, Locala J, Franco K, Bronson DL, Tannous Z. Pre-operative risk factors for postoperative delirium. Gen Hosp Psychiatr 2001; 23: 84-9.
6. Williams-Russo P, Urquhart BL, Sharrock NE, Charlson ME. Post operative delirium: predictors and prognosis in elderly orthopedic patients. J Am Geriatr Soc 1992: 40; 759-67.
7. Inouye SK, Bogardus ST, Charpentier PA et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999; 340: 669-76.
8. Milisen K, Foreman MD, Abraham IL et al. A nurse-led inter-disciplinary intervention program for delirium in elderly hip-fracture patients. J Am Geriatr Soc 2001; 49: 523-32.
9. Marcantonio ER, Flacker JM, Wright J, Resnick NM. Reducing delirium after hip fracture: a randomized trial. J Am Geriatr Soc 2001; 49: 516-22.
10. Gustafson Y, Brännström B, Berggren D et al. A geriatric-anesthesiologic program to reduce acute confusional states in elderly patients treated for femoral neck fractures. J Am Geriatr Soc 1991; 39: 655-62.
11. Edlund A, Lundström R, Brännström B, Bucht G, Gustafson Y. Delirium before and after operation for femoral neck fracture. J Am Geriatr Soc 2001; 49:1335-40.
12. MacDonald JB, Dutton MJ, Stott DJ, Hamblen DL. Evaluation of pre-admission screening of elderly patients accepted for major joint replacement. Health Bull 1992; 50: 54-60.
13. Fisher BW, Flowerdew G. A simple model for predicting postoperative delirium in older patients undergoing elective orthopedic surgery. J Am Geriatr Soc 1995; 43: 175-8.
14. Brauer C, Morrison S, Silberzweig SB, Siu AL. The cause of delirium in patients with hip fracture. Arch Intern Med 2000; 160: 1856-60.
15. Dai YT, Lou MF, Yip PK, Huang GS. Risk factors and incidence of postoperative delirium in elderly Chinese patients. Gerontology 2000; 46: 28-35.
16. Inouye SK, Rushing JT, Foreman MD, Palmer RM, Pompei P. Does delirium contribute to poor hospital outcomes? J Gen Intern Med 1998; 13: 234-242.
17. Rockwood K. The occurrence and duration of symptoms in elderly patients with delirium. J Gerontol Med Sci 1993; 48: M162-6.
18. Marcantonio ER, Goldman L, Mangione CM et al. A clinical prediction rule for delirium after elective noncardiac surgery. JAMA 1994; 271: 134-9.
19. O'Keeffe ST, Lavan JN. Predicting delirium in elderly patients: development and validation of a risk-stratification model. Age Ageing 1996; 25: 317-21.
20. Rockwood K, Cosway S, Stolee P et al. Increasing the recognition of delirium in elderly patients. J Am Geriatr Soc 1994; 42: 252-6.
21. Gustafson Y, Brännström B, Norberg A, Bucht G, Winblad B. Underdiagnosis and poor documentation of acute confusional states in elderly hip fracture patients. J Am Geriatr Soc 1991; 39: 760-5.
22. Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM. Nurses' recognition of delirium and its symptoms. Arch Intern Med 2001; 161: 2467-73.
23. Inouye SK, Schlesinger MJ, Lydon TJ. Delirium: a symptom of how hospital care is failing older persons and a window to improve quality of hospital care. Am J Med 1999; 106: 565-73.
24. Folstein MF, Folstein SE. Mini-mental state: a practical guide for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-98.
25. Tombaugh TN, McIntyre NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 1992; 40: 922-35.
26. Inouye SK, Viscoli CM, Horwitz RI, Hurst LD, Tinetti ME. A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med 1993; 119: 474-81.
27. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: the Confusion Assessment Method. Ann Intern Med 1990; 113: 941-8.
28. O'Keeffe S, Lavan J. The prognostic significance of delirium in older hospitalized patients. J Am Geriatr Soc 1997; 45: 174-8.
29. Andersson EM, Gustafson L, Hallberg IR. Acute confusional state in elderly orthopaedic patients: factors of importance for detection in nursing care. Int J Geriatr Psychiatry 2001; 16: 7-17.
30. Rolfson DB, McElhaney JE, Jhangri GS, Rockwood K. Validity of the Confusion Assessment Method in detecting postoperative delirium in the elderly. Int Psychogeriatr 1999; 11: 431-8.