Delirium in hip fractured patients

IF 0.4 Q4 GERONTOLOGY Journal of Gerontology and Geriatrics Pub Date : 2022-09-01 DOI:10.36150/2499-6564-n544
A. Sala, Aurora Vitali, Francesca Remelli, A. Zurlo, S. Volpato
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Abstract

The current clinical case concerns the mixed delirium in a 70-year-old man with hip fracture, following a fall at home. In his medical history, the patient reported several comorbidities, among which also sarcopenia. De-lirium was already diagnosed by the geriatrician on hospital admission. The patient underwent hip endoprosthesis surgery after 24 hours without any intra-operative complications. However, in the post-operative period delirium persisted, causing a prolonged hospital stay, a delayed physio-therapy rehabilitation with poor functional recovery, and subsequent institutionalization. The prevalence of delirium in older people with hip fracture is extremely high and it is associated with several negative outcomes. De-lirium is considered a multifactorial disorder, and, in particular, sarcopenia appears directly linked to the development of delirium. The systematic assessment of sarcopenia should be performed in hospitalized older patients with hip fracture, together with the other predisposing risk factors for delirium, to timely identify people at higher risk for both delirium and disability.
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髋部骨折患者的谵妄
目前的临床病例涉及一名70岁男性髋部骨折,在家中跌倒后出现混合性谵妄。在他的病史中,病人报告了一些合并症,其中也有肌肉减少症。入院时,老年病专家已经诊断出患有谵妄。患者于24小时后接受髋关节内假体手术,无任何术中并发症。然而,术后谵妄持续存在,导致住院时间延长,物理治疗康复延迟,功能恢复不佳,随后住院。老年髋部骨折患者谵妄的患病率极高,并伴有一些不良后果。谵妄被认为是一种多因素疾病,特别是肌肉减少症似乎与谵妄的发展直接相关。对住院老年髋部骨折患者进行肌肉减少症的系统评估,并结合其他谵妄的易感危险因素,及时识别谵妄和残疾的高危人群。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
31
期刊介绍: The Journal of Gerontology and Geriatrics (JGG) is the official journal of the Italian Society of Gerontology and Geriatrics (SIGG), which will be an international, interdisciplinary, peer-reviewed journal concerning frontiers and advances in the field of aging. The aim of the journal is to provide a forum for original research papers, reviews, clinical case reports, and commentaries on the most relevant areas pertaining to aging. JGG publishes relevant articles covering the full range of disciplines pertaining to aging. Appropriate areas include (but are not limited to) Physiology and Pathology of Aging, Biogerontology, Epidemiology, Clinical Geriatrics, Pharmacology, Ethics, Psychology, Sociology and Geriatric Nursing.
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