Clinical Researches
Status and influencing factors of postoperative delirium in elderly patients with hip fracture
Yue Huiling, Hu Sanlian, Pan Yan, Hu Ling
Published 2022-03-26
Cite as Chin J Mod Nurs, 2022, 28(9): 1172-1176. DOI: 10.3760/cma.j.cn115682-20210510-02028
Abstract
ObjectiveTo investigate the risk factors of postoperative delirium in elderly patients with hip fracture.
MethodsUsing the convenient sampling method, a total of 141 elderly patients with hip fractures who were admitted to Trauma Department of Shanghai Sixth People's Hospital from November 2018 to April 2019 were selected as the research objects. The incidence of postoperative delirium was assessed by Confusion Assessment Method (CAM) , and patients were divided into the delirium group (n=40) and the non-delirium group (n=101) . Binomial Logistic regression analysis was used to analyze the risk factors of postoperative delirium in elderly patients with hip fracture.
ResultsPostoperative delirium occurred in 40 of 141 patients (28.37%) . Binomial logistic regression analysis showed that age, history of stroke, preoperative serum albumin level, intraoperative hypoxemia, and ICU stay were influencing factors for postoperative delirium in elderly patients with hip fracture (P<0.05) .
ConclusionsPostoperative delirium is more common in elderly patients with hip fractures. In addition, advanced age, history of stroke, high preoperative serum albumin level, intraoperative hypoxemia, long ICU stay were risk factors of postoperative delirium occurrence.
Key words:
Aged; Hip fracture; Delirium; Risk factors
Contributor Information
Yue Huiling
Department of Orthopedics, Shanghai Sixth People's Hospital, Shanghai 200233, China
Hu Sanlian
Department of Nursing, Shanghai Sixth People's Hospital, Shanghai 200233, China
Pan Yan
Department of Orthopedics, Shanghai Sixth People's Hospital, Shanghai 200233, China
Hu Ling
School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China
