Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium

Aim:We aimed to investigate the impact of delirium on short-term outcomes in hip fracturepatients. Special attention was given to patients with delirium and dementia.Methods:A prospective observational cohort study was carried out in hip fracture patientsaged≥70 years who were admitted to a hospital...

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Autores: Bielza Galindo, Rafael, Zambrana Tevar, Francisco, Fernández de la Puente, Eva María, Sanjurjo Portus, Jorge, Andreu Vázquez, Cristina, Thuissard Vasallo, Israel John, Gómez Cerezo, Jorge Francisco
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/9893
Acceso en línea:http://hdl.handle.net/11268/9893
Access Level:acceso abierto
Palabra clave:Delirio
Demencia
Ortopedia
Enfermedad
Cerebro
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spelling Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to deliriumBielza Galindo, RafaelZambrana Tevar, FranciscoFernández de la Puente, Eva MaríaSanjurjo Portus, JorgeAndreu Vázquez, CristinaThuissard Vasallo, Israel JohnGómez Cerezo, Jorge FranciscoDelirioDemenciaOrtopediaEnfermedadCerebroAim:We aimed to investigate the impact of delirium on short-term outcomes in hip fracturepatients. Special attention was given to patients with delirium and dementia.Methods:A prospective observational cohort study was carried out in hip fracture patientsaged≥70 years who were admitted to a hospital unit where a multicomponents approach todelirium is established for all patients. Our population was split into delirium (n= 212) andnon-delirium cohort (n= 171) according to the Confusion Assessment Method. Patients witha previous diagnosis of dementia in an outpatient appointment were also assessed within thedelirium cohort. The utility of the rehabilitation was measured with the Absolute FunctionalGain index.Results:A total of 383 patients were entered into the study. The median age was 86 years,and most patients were women (78.8%). Delirium patients were older, presented a lower pre-vious Barthel Index (BI), had higher rates of dementia and came more frequently from nursinghomes. Comparative analysis did not show differences in mortality, complications, length ofstay or walking ability between the cohorts. However, lower BI on discharge, lower AbsoluteFunctional Gain and the presence of nosocomial infections were found more frequently inthe delirium cohort. In multivariate analysis, only the BI on discharge (P= 0.010) was lower indelirium patients. Within the delirium cohort, those suffering from dementia had worse BI ondischarge (P= 0.017) and lower Absolute Functional Gain (P= 0.019).Conclusions:Delirium was not associated with mortality, walking ability, length of stay andclinical complications in hip fracture patients. BI on discharge was the only short-term out-come affected. In the delirium cohort, those suffering from dementia showed worse rehabili-tation results.20212021-03-0920202020-01-0120202020-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articlehttp://hdl.handle.net/11268/9893reponame:ABACUS. Repositorio de Producción Científicainstname:Universidad Europea (UEM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttps://creativecommons.org/licenses/by/4.0/deed.esinfo:eu-repo/semantics/openAccessoai:abacus.universidadeuropea.com:11268/98932026-06-11T12:41:27Z
dc.title.none.fl_str_mv Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
title Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
spellingShingle Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
Bielza Galindo, Rafael
Delirio
Demencia
Ortopedia
Enfermedad
Cerebro
title_short Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
title_full Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
title_fullStr Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
title_full_unstemmed Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
title_sort Impact of delirium on short-term outcomes in hip fracture patients under a program of approach to delirium
dc.creator.none.fl_str_mv Bielza Galindo, Rafael
Zambrana Tevar, Francisco
Fernández de la Puente, Eva María
Sanjurjo Portus, Jorge
Andreu Vázquez, Cristina
Thuissard Vasallo, Israel John
Gómez Cerezo, Jorge Francisco
author Bielza Galindo, Rafael
author_facet Bielza Galindo, Rafael
Zambrana Tevar, Francisco
Fernández de la Puente, Eva María
Sanjurjo Portus, Jorge
Andreu Vázquez, Cristina
Thuissard Vasallo, Israel John
Gómez Cerezo, Jorge Francisco
author_role author
author2 Zambrana Tevar, Francisco
Fernández de la Puente, Eva María
Sanjurjo Portus, Jorge
Andreu Vázquez, Cristina
Thuissard Vasallo, Israel John
Gómez Cerezo, Jorge Francisco
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Delirio
Demencia
Ortopedia
Enfermedad
Cerebro
topic Delirio
Demencia
Ortopedia
Enfermedad
Cerebro
description Aim:We aimed to investigate the impact of delirium on short-term outcomes in hip fracturepatients. Special attention was given to patients with delirium and dementia.Methods:A prospective observational cohort study was carried out in hip fracture patientsaged≥70 years who were admitted to a hospital unit where a multicomponents approach todelirium is established for all patients. Our population was split into delirium (n= 212) andnon-delirium cohort (n= 171) according to the Confusion Assessment Method. Patients witha previous diagnosis of dementia in an outpatient appointment were also assessed within thedelirium cohort. The utility of the rehabilitation was measured with the Absolute FunctionalGain index.Results:A total of 383 patients were entered into the study. The median age was 86 years,and most patients were women (78.8%). Delirium patients were older, presented a lower pre-vious Barthel Index (BI), had higher rates of dementia and came more frequently from nursinghomes. Comparative analysis did not show differences in mortality, complications, length ofstay or walking ability between the cohorts. However, lower BI on discharge, lower AbsoluteFunctional Gain and the presence of nosocomial infections were found more frequently inthe delirium cohort. In multivariate analysis, only the BI on discharge (P= 0.010) was lower indelirium patients. Within the delirium cohort, those suffering from dementia had worse BI ondischarge (P= 0.017) and lower Absolute Functional Gain (P= 0.019).Conclusions:Delirium was not associated with mortality, walking ability, length of stay andclinical complications in hip fracture patients. BI on discharge was the only short-term out-come affected. In the delirium cohort, those suffering from dementia showed worse rehabili-tation results.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01
2020
2020-01-01
2021
2021-03-09
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/11268/9893
url http://hdl.handle.net/11268/9893
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
https://creativecommons.org/licenses/by/4.0/deed.es
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
https://creativecommons.org/licenses/by/4.0/deed.es
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:ABACUS. Repositorio de Producción Científica
instname:Universidad Europea (UEM)
instname_str Universidad Europea (UEM)
reponame_str ABACUS. Repositorio de Producción Científica
collection ABACUS. Repositorio de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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