Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture

p. 7467

Bibliographic Details
Authors: Plaza Carmona, María, Requena Hernández, Carmen, Jiménez Mola, Sonia
Format: article
Status:Published version
Publication Date:2020
Country:España
Institution:Universidad de León
Repository:BULERIA. Repositorio Institucional de la Universidad de León
OAI Identifier:oai:buleria.unileon.es:10612/14538
Online Access:https://www.mdpi.com/1660-4601/17/20/7467/htm
http://hdl.handle.net/10612/14538
Access Level:Open access
Keyword:Enfermería
Psicología
fractura de cadera
hospitalización
delirio
personas mayores
id ES_42fa1cda3a2fa36d9e1eb3fc36b1e636
oai_identifier_str oai:buleria.unileon.es:10612/14538
network_acronym_str ES
network_name_str España
repository_id_str
spelling Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip FracturePlaza Carmona, MaríaRequena Hernández, CarmenJiménez Mola, SoniaEnfermeríaPsicologíafractura de caderahospitalizacióndeliriopersonas mayoresp. 7467Introduction: Since delirium is a major complication that can arise after a patient with a hip fracture has been hospitalized, it is considered to be one of the most common geriatric conditions. Therefore, its prevention and early detection are essential for reducing both the length of the patient’s stay in the hospital and complications during the hospitalization process. Objective: To identify and analyze the predictors for developing delirium in octogenarians who were admitted to hospital for a hip fracture. Methodology: A prospective study conducted with a sample of 287 patients aged 80 years and older (mean age 87.2 ± 3.2 years; 215 women, 72 men), recruited from the Trauma Unit of the University Hospital of León (Spain). Further, 71.1% of the patients lived in a family member’s home, while the other 28.9% lived in a nursing home. After observing each patient’s interactions with their doctor in a clinical setting, the data for this study were obtained by reviewing the selected patients’ charts. The variables analyzed were sociodemographic information (age, sex, and place of residence), medical information (type of hip break and surgical intervention), cognitive impairment (MMSE score), functional level (Barthel Index score), and clinical information (pharmacological, comorbidities, complications, and the diagnosis and assessment of the severity of delirium in a patient). The univariate and multivariate logistic regression analysis showed a significant relationship between acute confusional state and the following variables: anemia, American Society of Anesthesiologists (ASA) III and IV patients, state of cognitive frailty and functional level, a urinary tract infection, changes in the visual field, renal arterial occlusion, and the type and dosage of drugs administered (this variable was identified in the multivariate model). The inverse relationship between anemia and acute confusional state is surprising. Conclusion: This research shows that clinical observation of acute confusional state is necessary but not sufficient for addressing this condition early and adequately in older adults who have been hospitalized for a hip fracture.SIMDPIPsicologia Evolutiva y de la EducacionFacultad de Educacion2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://www.mdpi.com/1660-4601/17/20/7467/htmhttp://hdl.handle.net/10612/14538reponame:BULERIA. Repositorio Institucional de la Universidad de Leóninstname:Universidad de LeónInglésinfo:eu-repo/semantics/openAccessoai:buleria.unileon.es:10612/145382026-06-24T12:43:27Z
dc.title.none.fl_str_mv Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
title Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
spellingShingle Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
Plaza Carmona, María
Enfermería
Psicología
fractura de cadera
hospitalización
delirio
personas mayores
title_short Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
title_full Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
title_fullStr Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
title_full_unstemmed Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
title_sort Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture
dc.creator.none.fl_str_mv Plaza Carmona, María
Requena Hernández, Carmen
Jiménez Mola, Sonia
author Plaza Carmona, María
author_facet Plaza Carmona, María
Requena Hernández, Carmen
Jiménez Mola, Sonia
author_role author
author2 Requena Hernández, Carmen
Jiménez Mola, Sonia
author2_role author
author
dc.contributor.none.fl_str_mv Psicologia Evolutiva y de la Educacion
Facultad de Educacion
dc.subject.none.fl_str_mv Enfermería
Psicología
fractura de cadera
hospitalización
delirio
personas mayores
topic Enfermería
Psicología
fractura de cadera
hospitalización
delirio
personas mayores
description p. 7467
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.mdpi.com/1660-4601/17/20/7467/htm
http://hdl.handle.net/10612/14538
url https://www.mdpi.com/1660-4601/17/20/7467/htm
http://hdl.handle.net/10612/14538
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:BULERIA. Repositorio Institucional de la Universidad de León
instname:Universidad de León
instname_str Universidad de León
reponame_str BULERIA. Repositorio Institucional de la Universidad de León
collection BULERIA. Repositorio Institucional de la Universidad de León
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869406991614476288
score 15.300724

Similar Items