Factores predictores del delirium en pacientes octogenarios hospitalizados por fractura de cadera

  1. Plaza-Carmona, María 1
  2. Requena-Hernández, Carmen 2
  3. Jiménez-Mola, Sonia 3
  1. 1 Hospital Universitario de León, Servicio de Geriatría. León, España. Universidad de León, Departamento de Psicología, Sociología y Filosofía. León, España
  2. 2 Universidad de León, Departamento de Psicología, Sociología y Filosofía. León, España
  3. 3 Hospital Universitario de León, Servicio de Geriatría. León, España
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Journal:
Index de enfermería: información bibliográfica, investigación y humanidades

ISSN: 1132-1296

Year of publication: 2021

Volume: 30

Issue: 1-2

Pages: 19-23

Type: Article

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More publications in: Index de enfermería: información bibliográfica, investigación y humanidades

Abstract

Introduction: Delirium is considered one of the great geriatric syndromes due to the impact on the behavior of patients and the confusion and frustration that it causes in professionals and family members. Objective: identify and describe the predictors of the risk of developing delirium in hospitalized octogenarian patients with hip fracture. Methodology: prospective cohort study carried out with a sample of 287 orthogeriatric patients (87.2 ± 3.2 years), recruited from the Traumatology Unit of the University Hospital of León (Spain). Predisposing, precipitating and risk factors were included, including sociodemographic, baseline, surgical, pharmacological comorbidities and complications variables. Results: the results of the study show that the presence of ane-mia, ASA (in category 3-4), cognitive impairment, UTI, visual disturbances and RAO, variables, in this order, can be considered as predictive variables of delirium in hospitalized octogenarian patients with fracture of hip. Conclusion: this study shows that the type of predictive factors that most impact the development of delirium could be controlled from the moment the patient is hospitalized. Therefore, it is possible to minimize the effect of confusion that usually causes this syndrome in patients, family members, and health professionals.

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