Archives of Gerontology and Geriatrics
Volume 36, Issue 1 , Pages 67-74 , January 2003

The unfavorable nature of preoperative delirium in elderly hip fractured patients

  • Abraham Adunsky

      Affiliations

    • Department of Orthopedic-Geriatric Medicine, Sheba Medical Center, 52621 Tel Hashomer, Israel
    • Corresponding Author InformationCorresponding author. Tel./fax: +972-3-530-3411
    • ,
  • Rami Levy

      Affiliations

    • Department of Orthopedic-Geriatric Medicine, Sheba Medical Center, 52621 Tel Hashomer, Israel
    • ,
  • Michael Heim

      Affiliations

    • Department of Orthopedic Rehabilitation, Sheba Medical Center, 52621 Tel Hashomer, Israel
    • ,
  • Eliyahu Mizrahi

      Affiliations

    • Department of Geriatrics, Sheba Medical Center, 52621 Tel Hashomer, Israel
    • ,
  • M Arad

      Affiliations

    • Department of Orthopedic-Geriatric Medicine, Sheba Medical Center, 52621 Tel Hashomer, Israel

Received 4 February 2002 ,Revised 15 July 2002 ,Accepted 20 July 2002.

References 

  1. Adunsky A, Levi R, Cecic A, Arad M, Noy S, Barell V. The Sheba model of comprehensive orthogeriatric care for elderly hip fracture patients: a preliminary report. Isr. Med. Assoc. J. 2002;4:259–261
  2. bmdp Statistical Software, 1990. University of California Press, LA, CA.
  3. Dolan M, Hawkes W, Zimmerman S, Morrison S, Gruber-Baldini A, Herbel R, et al. Delirium on hospital admission in aged hip fracture patients: prediction of mortality and 2-year functional outcomes. J. Gerontol. Med. Sci. 2000;55:M527–M534
  4. Edlund A, Lundstrum M, Brannstrom B, Bucht G, Gustafson Y. Delirium before and after operation for femoral neck fracture. J. Am. Geriatr. Soc. 2001;49:1335–1340
  5. Folstein MF, Folstein SE, McHuge PR. Mini mental state: a practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 1975;12:189–198
  6. Francis J, Kapoor W. Prognosis after hospital discharge of older medical patients with delirium. J. Am. Geriatr. Soc. 1992;40:601–606
  7. Gustafson Y, Berggren D, Brannstrom B, Bucht G, Norberg A, Hansson LI, et al. Acute confusional states in elderly patients treated for femoral neck fracture. J. Am. Geriatr. Soc. 1988;36:525–530
  8. Inouye SK, Van Dyke CH, Alessi CA, Balki S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method. Ann. Intern. Med. 1990;113:941–948
  9. Inouye SK, Rushing JT, Foreman MD, Palmer RM, Pmpei P. Does delirium contribute to poor hospital outcomes? A three site epidemiologic study. J. Gen. Intern. Med. 1998;13:234–242
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  11. Lincare JM, Heinemann AW, Wright BD, Granger CV, Hamilton BB. The structure and stability of the functional independence measure. Arch. Phys. Med. Rehabil. 1994;75:127–132
  12. Magaziner J, Simonsick EM, Kashner M, Hebel JR, Kenzora JE. Survival experience of aged hip fracture patients. Am. J. Public Health. 1989;79:274–278
  13. Marcantonio ER, Flacker JM, Michaels M, Resnick NM. Delirium is independently associated with poor functional recovery after hip fracture. J. Am. Geriatr. Assoc. 2000;48:618–624
  14. Marcantonio ER, Flacker JM, Wright RJ, Resnick NM. Reducing delirium after hip fracture: a randomized trial. J. Am. Geriatr. Soc. 2001;49:516–522
  15. Murray AM, Levkoff SE, Wetle TT, Beckett L, Cleary PD, Lipsitz LA, et al. Acute delirium and functional decline in the hospitalised elderly patient. J. Gerontol. Med. Sci. 1993;48:M181–M186
  16. O'keeffe S, Lavan J. The prognostic significance of delirium in older hospital patients. J. Am. Geriatr. Soc. 1997;45:174–178
  17. Pompei P, Foreman M, Rudberg MA, Inouye K, Braund V, Cassel CK. Delirium in hospitalized older patients: outcomes and predictors. J. Am. Geriatr. Soc. 1994;42:809–815

PII: S0167-4943(02)00058-4

Archives of Gerontology and Geriatrics
Volume 36, Issue 1 , Pages 67-74 , January 2003

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