Delirium in Elderly Individuals With Hip Fracture: Causes, Incidence, Prevalence, and Risk Factors

Furlaneto, Maria Elizabet; Leme, Luiz Eugênio Garcez

doi:10.1590/s1807-59322006000100007

Cited by 44 publications

(27 citation statements)

References 39 publications

(41 reference statements)

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“…This occurrence is frequently reported in literature both in terms of reduction in ability to perform instrumental activities of daily living related to higher risk for fracture 24 and of the association between fracture and later worsening in the functional performance. 25,26 The significant decrease in the abilities related to functional capacity in our patients was worse for men than for women.…”

Section: Discussionmentioning

confidence: 64%

Evolution of Brazilian Elderly With Hip Fracture Secondary to a Fall

Garcia

Leme

2006

Clinics

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Section: Discussionmentioning

confidence: 64%

Evolution of Brazilian Elderly With Hip Fracture Secondary to a Fall

Garcia

Leme

2006

Clinics

Self Cite

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“…The data from this study have been reported elsewhere 22 . To summarize, we included consecutive patients aged 60 years or older, male and female, who were admitted to the orthogeriatric ward with hip fracture.…”

Section: Sample and Methodsmentioning

confidence: 97%

“…We used the Blessed Dementia Rating Scale to discriminate patients into dementia and non-dementia groups because, in our initial study, 22 because we did not want to exclude delirious patients at admission In that circumstance, the cognitive scales directly applied to patients would not to be reliable. Almost all existing studies used IQCODE, 32,3,18 BDRS 6 , mini-mental, 6,13,14,16,18 chart review, and unspecified interviews 4,14,16 to measure cognitive performance.…”

Section: Study Limitationsmentioning

confidence: 99%

Impact of Delirium on Mortality and Cognitive and Functional Performance Among Elderly People With Femoral Fractures

Furlaneto

Leme

2007

Clinics

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Furlaneto ME, Garcez-Leme LE. Impact of delirium on mortality and cognitive and functional performance among elderly people with femoral fractures. Clinics. 2007;62(5):545-52. OBJECTIVE:To evaluate the evolution of cognitive and functional performance and mortality among elderly patients who were delirious during hospitalization due to femoral fracture. who did not present with delirium. There were six deaths, and 97 patients were discharged from the hospital. We obtained information on 85 of these patients four years after discharge; 42 patients were still alive and 43 had died at the time of the evaluation. METHODS: Data on vital status was obtained for 85 patients. For the 42 survivors, we acquired information on their basic activities of daily living (ADL), instrumental activities of daily living (IADL), and cognitive performance (BDRS) by means of telephone interview with the same caregivers who had provided information at the time of the hospitalization. We compared this data with that obtained during their hospitalizations four years prior. For the 43 patients who died, we obtained information regarding their deaths and used this data in the analysis of mortality. RESULTS: No relationships were observed between delirium and mortality, delirium and cognitive loss, or delirium and functional loss, after four years from discharge of elderly patients with hip fractures. An initial cognitive deficit was a predictor for mortality (RR = 2.54; p = 0.016), functional loss (OR = 1.80; p = 0.027) and cognitive loss (OR = 1.53; p = 0.024). Cognitive loss was also related to age. CONCLUSIONS: Delirium had no impact on mortality or functional or cognitive losses in long term evolution (2 years) among elderly patients with femoral fractures. An initial cognitive impairment may identify patients at risk of mortality, functional and cognitive losses over the long term evolution.

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“…Tal resultado pode ter ocorrido porque algumas pacientes com fratura de quadril participaram do estudo após a correção cirúrgica para a fratura, o que pode explicar os escores significativamente mais baixos neste grupo. Estudos já têm descrito o comprometimento cognitivo no pós-operatório de fratura de quadril 22 . Entretanto, outros achados indicam que o comprometimento cognitivo pode estar presente previamente à fratura de quadril e pode ser considerado um fator de risco para esta 23 .…”

Section: Discussão E Conclusõesunclassified

Prevalência de depressão em mulheres idosas com fratura de quadril

Demetrio

Gattaz

et al. 2009

Rev. psiquiatr. clín.

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Delirium in Elderly Individuals With Hip Fracture: Causes, Incidence, Prevalence, and Risk Factors

Cited by 44 publications

References 39 publications

Evolution of Brazilian Elderly With Hip Fracture Secondary to a Fall

Evolution of Brazilian Elderly With Hip Fracture Secondary to a Fall

Impact of Delirium on Mortality and Cognitive and Functional Performance Among Elderly People With Femoral Fractures

Prevalência de depressão em mulheres idosas com fratura de quadril

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