Delir – ein evidenzbasierter Überblick

Spies, Marie; Frey, Richard; Friedrich, Michaela-Elena; Kasper, S.

doi:10.1007/s11812-019-00093-1

Cited by 7 publications

(5 citation statements)

References 89 publications

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“…The CAM scale is the most widely used tool for delirium screening worldwide [ 29 , 30 ]. It has a sensitivity of 95–100% and a specificity of 90–95%.…”

Section: Methodsmentioning

confidence: 99%

Association of preoperative frailty with the risk of postoperative delirium in older patients undergoing hip fracture surgery: a prospective cohort study

Feng,

Wu,

et al. 2024

Aging Clin Exp Res

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Objective This study aimed to explore the correlation between preoperative frailty and the risk of postoperative delirium (POD) in older patients undergoing hip fracture surgery. Methods In total, 148 patients with hip fractures who were admitted to Tsinghua Changgung Hospital (Beijing, China) between January 2022 and January 2023 were involved in this study. Preoperative frailty scales were assessed, of which the CAM scale was postoperatively administered every morning and evening on days 1, 2, 3, 5, and 7. Binary logistic regression analysis was conducted to determine the correlation between preoperative frailty and the risk of POD. Results Among 148 older patients with hip fractures, 71 (48.0%) were identified as preoperative frail and 77 (52.0%) as non-frail. The overall incidence of POD on day 7 was 24.3% (36/148), and preoperative frailty was associated with a significantly higher risk of POD compared with non-frailty (42.3% vs. 7.8%, P < 0.001). The binary logistic regression analysis revealed that preoperative frailty was noted as an independent risk factor for the risk of POD in older patients undergoing hip fracture surgery (P = 0.002). Conclusion Preoperative frailty increased the risk of POD in older patients undergoing hip fracture surgery. Discussion Preoperative assessment of frailty in geriatric hip surgery can timely identify potential risks and provide interventions targeting frailty factors to reduce the incidence of POD in older patients undergoing hip fracture surgery. The findings suggested that preoperative frailty could increase the risk of POD in older patients undergoing hip fracture surgery. Further research is necessary to determine whether perioperative interventions aimed at enhancing frailty can mitigate the risk of POD and improve prognosis in older patients undergoing hip fracture surgery.

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“…The CAM scale is the most widely used tool for delirium screening worldwide [ 29 , 30 ]. It has a sensitivity of 95–100% and a specificity of 90–95%.…”

Section: Methodsmentioning

confidence: 99%

Association of preoperative frailty with the risk of postoperative delirium in older patients undergoing hip fracture surgery: a prospective cohort study

Feng,

Wu,

et al. 2024

Aging Clin Exp Res

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“…Die Ätiologie kann nur vermutet werden. Das Schwellenkonzept bietet einen Anhaltspunkt, dem Ursprung auf den Grund zu gehen 2 : Ein Delir entsteht aus einer komplexen Interaktion zwischen Anfälligkeiten und auslösenden Faktoren. Eine hohe Vorschädigung und Vorbelastung reduzieren gleichzeitig die Toleranzschwelle für zusätzliche Faktoren.…”

Section: Merkeunclassified

“…Der Einsatz von Antipsychotika basiert auf dem pathophysiologischen Prinzip: Sie blockieren die Dopaminempfangsstellen (Dopaminrezeptoren) und reduzieren die Reizweiterleitung bzw. Aktivität [2]. Der Einsatz dieser Medikamente wird in der Literatur allerdings kontrovers diskutiert, und auch die weiteren medikamentösen Möglichkeiten sind ernüchternd.…”

Section: Die Therapieunclassified

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Angehörige von Delir-patienten im Fokus der Therapiebegleitung

Ewers¹

2022

intensiv

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“…Mit zunehmendem Alter steigt auch das Risiko der Patienten, während des Intensivaufenthalts Komplikationen zu erleiden. So ist zum Beispiel das postoperative Delir mit einer Rate von 15–90 Prozent – in Abhängigkeit von Alter und (Neben-)Diagnosen des Patienten – eine der häufigsten Komplikationen bei Intensivpatienten 4 .…”

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