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Published on: February 27, 2018
Delirium in the orthopaedic patient
Jennifer Neitzel1, Sue Sendelbach, Linda R Larson
1Abbott Northwestern Hospital, Minneapolis, MN, USA.
Orthopedic Nursing
|November 30, 2007
Summary
Delirium in orthopedic surgery patients is common, increasing mortality risk. Early recognition and management programs are crucial for preventing this serious condition in orthopedic care.
Area of Science:
- Orthopedic Surgery
- Geriatric Medicine
- Neuroscience
Background:
- Delirium incidence in orthopedic patients varies widely (5.1%-61%).
- Delirium presents risks including increased mortality, often unrecognized by healthcare professionals.
- It can occur pre- or post-orthopedic surgery.
Purpose of the Study:
- To review the literature on delirium in orthopedic patients.
- To discuss incidence, risk identification, outcomes, and interventions.
- To provide an example of a hospital's delirium prevention program.
Main Methods:
- Literature review of delirium in orthopedic patients.
- Analysis of incidence, risk factors, and patient outcomes.
- Examination of nonpharmacological and pharmacological interventions.
- Case study of a tertiary care hospital's delirium program implementation.
Main Results:
- Delirium is a significant complication in orthopedic surgery with high incidence.
- Underrecognition by medical staff is a persistent issue.
- Effective prevention and management strategies can mitigate risks.
Conclusions:
- Orthopedic patients are at high risk for delirium, impacting outcomes and mortality.
- Systematic approaches to delirium prevention and management are essential.
- Hospital-wide programs can improve recognition and care for orthopedic patients experiencing delirium.
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