Clinical Profile of Delirium in Patients Treated for Femoral Neck FracturesEdlund A. · Lundström M. · Lundström G. · Hedqvist B. · Gustafson Y.
aDepartment of Rehabilitation, Piteå River Valley Hospital, Piteå, and bDepartment of Geriatric Medicine, Umeå University Hospital, Umeå, Sweden
The incidence of delirium, its predisposing factors, clinical profile, associated symptoms and consequences were investigated in 54 consecutive patients, 19 men and 35 women, mean age 77.1 years, admitted to an ‘ortho-geriatric unit’ with femoral neck fractures. The incidence of postoperative delirium was 15/54 (27.8%) and a logistic regression model found that dementia and a prolonged waiting time for the operation increased the risk of postoperative delirium. Delirium during the night was most common but in 5 patients the delirium was worst in the morning. Patients with delirium suffered more anxiety, depressed mood, emotionalism, delusions and hallucinations. A larger proportion of patients with delirium could not return to their previous dwelling, and a larger proportion of delirious patients were either dead, wheelchair-bound or bedridden at the 6-month follow-up (p < 0.005). The conclusion is that delirium is common and has a serious impact on the outcome after hip fracture surgery.
Yngve Gustafson, Ass. Prof.
Head of Department, Department of Geriatric Medicine
Umeå University, SE–902 87 Umeå (Sweden)
Tel. +46 90 785 87 60, Fax +46 90 13 06 23
Number of Print Pages : 5
Number of Figures : 1, Number of Tables : 4, Number of References : 29
Dementia and Geriatric Cognitive Disorders
Vol. 10, No. 5, Year 1999 (Cover Date: September-October 1999)
Journal Editor: V. Chan-Palay, New York, N.Y.
ISSN: 1420–8008 (print), 1421–9824 (Online)
For additional information: http://www.karger.com/journals/dem