umu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Development of dementia in patients with femoral neck fracture who experience postoperative delirium: A three-year follow-up study
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Visa övriga samt affilieringar
2018 (Engelska)Ingår i: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 33, nr 4, s. 623-632Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives It remains unclear to what extent postoperative delirium (POD) affects the incidence of dementia in hip fracture patients, and the methods used to detect delirium and dementia require validation. The aim of this study was to investigate the development of dementia within 3 years of femoral neck fracture repair surgery, with a focus on POD as a potential predictive factor.

Methods Patients were assessed for cognition, delirium, depression, psychological well-being, and nutritional status during their hospitalization as well as 4, 12, and 36 months after the operation. Logistic regression models were used to analyse factors associated with POD and factors associated with the development of dementia.

Results The study sample consisted of 135 patients without a history of dementia, of whom 20 (14.8%) were delirious preoperatively and 75 (55.5%) postoperatively. Three years after their operations, 43/135 patients (31.8%) were diagnosed with dementia. A greater portion of patients diagnosed with dementia (39/43, 90.6%) than patients with no dementia (36/92, 39.1%) were included among the 75 patients who had experienced POD (P<0.001). In a logistic regression model, after adjustment for covariates (age, sex, diabetes, delirium pre- and postoperatively, hyperactive delirium, days with delirium, urinary tract infection, and Mini Nutritional Assessment score), POD emerged an independent predictor for the development of new dementia (odds ratio, 15.6; 95% confidence interval, 2.6-91.6) within 3 years after the operation.

Conclusion Geriatric hip fracture patients who exhibit POD should be monitored closely for the development of dementia.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2018. Vol. 33, nr 4, s. 623-632
Nyckelord [en]
cognitive impairment, femoral neck fracture, geriatrics, logistic regression, mortality
Nationell ämneskategori
Geriatrik Omvårdnad
Identifikatorer
URN: urn:nbn:se:umu:diva-146141DOI: 10.1002/gps.4832ISI: 000426505700008PubMedID: 29292537OAI: oai:DiVA.org:umu-146141DiVA, id: diva2:1205849
Tillgänglig från: 2018-05-15 Skapad: 2018-05-15 Senast uppdaterad: 2019-01-08Bibliografiskt granskad

Open Access i DiVA

fulltext(932 kB)90 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 932 kBChecksumma SHA-512
705e6d5f1331323ec998737653a52578761eea47ef8c34348a0eb17b6eecb98f76403c11359b7c8a44a4d713211f85cc0e082b98c2f527f708e9907e8b06dc6e
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMed

Personposter BETA

Olofsson, BirgittaPersson, MariaGustafson, YngveStenvall, Michael

Sök vidare i DiVA

Av författaren/redaktören
Olofsson, BirgittaPersson, MariaGustafson, YngveStenvall, Michael
Av organisationen
Institutionen för omvårdnadGeriatrik
I samma tidskrift
International Journal of Geriatric Psychiatry
GeriatrikOmvårdnad

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 90 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 292 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf