术后妄想是骨骨折后住院的危险因素:一项观察性队列研究
François Labaste1,2, François Delort1, Fabrice Ferré1
1Anesthesiology and Intensive Care Department CHU Toulouse, Toulouse, France.
Frontiers in medicine
|August 31, 2023
概括
手术后妄 (POD) 显著增加了部骨折手术后住院的风险. 预防POD对于改善患者康复和使他们能够返回家园至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 神经科学是一个神经科学.
背景情况:
- 部骨折在老年人中很常见,往往导致手术结果不佳.
- 手术后妄 (POD) 和神经认知障碍 (NCD) 是常见的并发症.
- POD和NCDs对关节骨折后恢复和自主性的影响尚未完全理解.
研究的目的:
- 调查POD,非传染性疾病和关节骨折手术后三个月内需要住院的需要之间的关联.
主要方法:
- 一项基于人口的前性队列研究包括63名关节骨折患者.
- 术后妄 (POD) 是使用混评估方法进行评估的.
- 神经认知障碍 (NCD) 通过迷你精神状态检查 (MMSE) 评分变化进行评估.
主要成果:
- 20.6%的患者在三个月后需要重新入院.
- POD与机构住院风险增加有显著的相关性 (OR = 5.23,p=0.04).
- 日常生活工具活动 (IADL) 演变也预测了制度化 (OR = 1.8,p=0.003).
结论:
- 手术后妄 (POD),而不是非传染性疾病,独立预测部骨折后的住院风险.
- 预防POD对于改善患者的治疗结果和促进回家至关重要.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.7K
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
3.4K
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Factors Affecting the Risk of Infection
11.9K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.9K
Pneumonia I: Introduction
268
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
268
