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http://dx.doi.org/10.5762/KAIS.2015.16.6.3926

Factors associated with the prolonged duration of postoperative delirium in patients who underwent orthopedic joint surgery  

Hwang, Byeong-Mun (Department of Anesthesiology and Pain Medicine, School of Medicine, Kangwon National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.6, 2015 , pp. 3926-3933 More about this Journal
Abstract
The purpose of this study was to determine the factors associated with duration of postoperative delirium following orthopedic joint surgery. This study included 266 patients who underwent orthopedic joint surgery at a single university hospital between January 2012 and February 2014. Patients were divided into two groups according to the duration of delirium: the transient (${\leq}2$ days) and prolonged (>3 days) delirium groups. Of the 266 patients, 137 (52%) developed prolonged delirium. Incidence of pre-existing dementia and history of stroke were significantly higher in the prolonged delirium group than in the transient delirium group. In a multivariate regression model, pre-existing dementia and history of stroke were associated with increased duration of delirium. Our findings suggest that medical practitioners should pay special attention to the prevention and management of postoperative delirium in patients who have dementia or stroke and undergo orthopedic joint surgery.
Keywords
Delirium; Dementia; Factors; Orthopedic; Stroke;
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