The incidence of delirium associated with orthopedic surgery: A meta-analytic review

International Psychogeriatrics

Volumn 19, Issue 2, 2007, Pages 197-214

  Bruce, Angela J ^a,d   Ritchie, Craig W ^b   Blizard, Robert ^b   Lai, Rosalind ^c   Raven, Peter ^b  

^a WAITEMATA DISTRICT HEALTH BOARD   (New Zealand)

^b ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

^c ROYAL FREE HOSPITAL   (United Kingdom)

^d Clare Cottage   (New Zealand)

Author keywords

Delirium; Incidence; Meta analysis; Orthopedic surgery; Review

Indexed keywords

COGNITIVE DEFECT; CONFIDENCE INTERVAL; DATA ANALYSIS; DATA BASE; DELIRIUM; DIAGNOSTIC PROCEDURE; ELECTIVE SURGERY; EMERGENCY SURGERY; HIP FRACTURE; HUMAN; INCIDENCE; MEDICAL LITERATURE; ORTHOPEDIC SURGERY; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; PUBLICATION; REVIEW; RISK ASSESSMENT; STRATIFICATION; SYSTEMATIC REVIEW; VALIDATION STUDY;

AGED; COGNITION DISORDERS; DELIRIUM; HIP FRACTURES; HUMANS; INCIDENCE; ORTHOPEDIC PROCEDURES;

EID: 33847792894     PISSN: 10416102     EISSN: 1741203X     Source Type: Journal    
DOI: 10.1017/S104161020600425X     Document Type: Review

References (52)

1. Adamis, D. et al. (2005). Capacity, consent, and selection bias in a study of delirium. Journal of Medical Ethics, 31, 137-143.
2. Albert, M. S. et al. (1992). The delirium symptom interview: an interview for the detection of delirium symptoms in hospitalized patients. Journal of Geriatric Psychiatry and Neurology, 5, 14-21.
3. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders IV. Washington, DC: American Psychiatric Association.
4. Andersson, E. M., Gustafson, L. and Hallberg, I. R. (2001). Acute confusional states in elderly orthopaedic patients: factors of importance for detection in nursing care. International Journal of Geriatric Psychiatry, 16, 7-17.
5. Bitsch, M. S. et al. (2004). Pathogenesis of and management strategies for postoperative delirium after hip fracture. Acta Orthopaedica Scandanivica, 75, 378-389.
6. Bowman, A. M. (1997). Sleep satisfaction, perceived pain and acute confusion in elderly clients undergoing orthopaedic procedures. Journal of Advanced Nursing, 26, 550-564.
7. Brauer, C. et al. (2000). The cause of delirium in patients with hip fracture. Archives of Internal Medicine, 160, 1856-1860.
8. Champagne, M. T. et al. (1987). The NEECHAM confusion scale: assessing acute confusion in the hospitalized and nursing home elderly. Gerontologist, 27, 4A.
9. Duppils, G. S. and Wikblad, K. (2000). Acute confusional states in patients undergoing hip surgery. Gerontology, 46, 36-43.
10. Dyer, C. B., Ashton, C. M. and Teasdale, T. A. (1995). Postoperative delirium. Archives of Internal Medicine, 155, 461-465.
11. Edlund, A. et al. (1999). Clinical profile of delirium in patients treated for femoral neck fractures. Dementia and Geriatric Cognitive Disorders, 10, 325-329.
12. Edlund, A. et al. (2001). Delirium before and after operation for femoral neck fracture. Journal of the American Geriatrics Society, 49, 1335-1340.
13. Fisher, B. W. and Flowerdew, G. F. (1995). A simple model for predicting postoperative delirium in older patients undergoing elective orthopedic surgery. Journal of the American Geriatric Society, 43, 175-178.
14. Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). "Mini mental state": a practical method of grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
15. Folstein, M. F. et al. (1991). The epidemiology of delirium in the community. The Eastern Baltimore Mental Health Survey. International Psychogeriatrics, 3, 169-176.
16. Formiga, F. et al. (2003). Mortality and morbidity in nonagenarian patients following hip fracture surgery. Gerontolology, 49, 41-45.
17. Freter, S. H. et al. (2005). Predicting post-operative delirium in elective orthopaedic patients: the Delirium Elderly At-Risk (DEAR) instrument. Age and Ageing, 34, 169-184.
18. Galanakis, P. et al. (2001). Acute confusional state in the elderly following hip surgery: incidence, risk factors and complications. International Journal of Geriatric Psychiatry, 16, 349-355.
19. Gustafson, Y. (2004). Postoperative delirium - a challenge for the orthopaedic team. Acta Orthopaedica Scandinavica, 75, 375-377.
20. Gustafson, Y. et al. (1988). Acute confusional states in elderly patients treated for femoral neck fractures. Journal of the American Geriatrics Society, 36, 525-530.
21. Holmes, J. D. and House, A.O. (2000). Psychiatric illness in hip fracture. Age and Ageing, 29, 537-546.
22. Inouye, S. K. et al. (1990). Clarifying confusion: the confusion assessment method. Annals of Internal Medicine, 113, 941-948.
23. Inouye, S. K (2000). Prevention of delirium in hospitalized older patients: risk factors and targeted intervention strategies. Annals of Medicine, 32, 257-263.
24. Jankowski, C. J. et al. (2004). Postoperative delirium in elderly orthopedic surgical patients. Anesthesiology, 101, A40.
25. Jitapunkul, S., Pillay, I. and Ebrahim, S. (1991). The abbreviated mental test: its use and validity. Age and Ageing, 20, 332-336.
26. Johansson, I. S., Hamrin, E. K. F. and Larsson, G. (2002). Psychometric testing of the NEECHAM confusion scale among patients with hip fracture. Research in Nursing and Health, 25, 203-211.
27. Johnson, J. C. et al. (1992). Prospective versus retrospective methods of identifying patients with delirium. Journal of the American Geriatrics Society, 40, 316-319.
28. Kagansky, N. et al. (2004). Low incidence of delirium in very old patients after surgery for hip fractures. American Journal of Geriatric Psychiatry, 12, 305-314.
29. Katzman, R. et al. (1983). Validation of a short orientation-memory-concentration test of cognitive impairment. American Journal of Psychiatry, 140, 734-739.
30. Kokmen, E. et al. (1991). The short test of mental status. Archives of Neurology, 48, 725-728.
31. Kudoh, A. et al. (2004). Postoperative confusion increases in elderly long-term benzodiazepine users. Anesthesia and Analgesia, 99, 1674-1678.
32. Laurila, J. et al. (2003). The impact of different diagnostic criteria on prevalence rates for delirium. Dementia and Geriatric Cognitive Disorders, 16, 156-162.
33. Linstedt, U. et al. (2002). The abbreviated mental test in a German version for detection of postoperative delirium. Anasthesiol Intensivmed Notfallmed Schmerzther, 37, 205-208.
34. Lipowski, Z. J. (1990). Delirium: Acute Confusional States. New York: Oxford.
35. Liptzin, B. et al. (1991). An empirical study of diagnostic criteria for delirium. American Journal of Psychiatry, 148, 454-457.
36. Litaker, D. et al. (2001). Risk factors for postoperative delirium. General Hospital Psychiatry, 23, 84-89.
37. Lynch, E. P. et al. (1998). The impact of postoperative pain on the development of postoperative delirium. Anesthesia and Analgesia, 86, 781-785.
38. Marcantonio, E. R. et al. (1994). A clinical prediction rule for delirium after elective noncardiac surgery. JAMA, 271, 134-139.
39. Marcantonio, E. R. et al. (2000). Delirium is independently associated with poor functional outcome after hip fracture. Journal of the American Geriatrics Society, 48, 618-624.
40. Morrison, R. S. et al. (2003). Relationship between pain and opioid analgesics on the development of delirium following hip fracture. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58A, 76-81.
41. Neelon, V. J. et al. (1989). The NEECHAM Confusion Scale: relationship to clinical indicators of acute confusion in hospitalized elders. Gerontologist, 29, 65A.
42. Oliver, D. et al. (2004). Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age and Ageing, 33, 122-130.
43. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433-441.
44. Rogers, M. P. et al. (1989). Delirium after elective orthopedic surgery: risk factors and natural history. International Journal of Psychiatry in Medicine, 19, 109-121.
45. Schuurmans, M. J. et al. (2003). Elderly patients with a hip fracture: the risk for delirium. Applied Nursing Research, 16, 75-84.
46. Silverstein, J. H. et al. (1999). Risk factors and impact of postoperative delirium in elderly surgical patients. Anesthesiology, 91, A13.
47. Smith, M. J., Breitbart, W. S. and Platt, M. M. (1995). A critique of instruments and methods to detect, diagnose and rate delirium. Journal of Pain and Symptom Management, 10, 35-77.
48. Thakur, C. S. et al. (2002). Predictors of post-operative delirium in elderly patients with hip fracture in a community hospital. Journal of the American Geriatrics Society, 50 Suppl 4, S51.
49. Trzepacz, P. T., Baker, R. W. and Greenhouse, J. (1988). A symptom rating scale for delirium. Psychiatry Research, 23, 89-97.
50. World Health Organization (1992). International Classification of Diseases, 10th revision. Geneva: WHO.
51. Zakriya, K. J. et al. (2002). Preoperative factors associated with postoperative change in confusion assessment method score in hip fracture patients. Anesthesia and Analgesia, 94, 1628-1632.
52. Zakriya, K. J. et al. (2004). Brief postoperative delirium in hip fracture patients affects functional outcome at three months. Anesthesia and Analgesia, 98, 1798-1802.