在老年人骨骨折中出现术后妄想的危险因素
Hui Gao1, Kai Zheng2, Hongxia Zhu1
1Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.
International journal of orthopaedic and trauma nursing
|September 28, 2025
概括
在老年关节骨折患者中,确定术后 Delirium (POD) 的危险因素至关重要. 关键预测因素包括晚年,手术前认知障碍,心房动,中风史,延迟手术和ICU入院.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
背景情况:
- 手术后痴呆症 (POD) 是接受关节骨折手术的老年患者的常见并发症.
- 识别POD风险因素对于有针对性的预防和改善患者结果至关重要.
研究的目的:
- 识别和分析患有骨骨折的老年患者手术后 Delirium (POD) 的危险因素.
- 调查与POD相关的术前,术后和术后风险因素之间的相互关系.
主要方法:
- 对210名接受关节骨折手术的老年患者 (≥65岁) 的回顾性分析.
- 患者被分为POD和非POD组.
- 使用单变量和二进制多重物流回归分析来确定风险因素,遵循STROBE指南.
主要成果:
- POD的发病率为12.4% (在210名患者中26名),在术后第一天发生最多.
- 单变量分析表明POD组中年龄较高,心房动,中风史,手术前CAM-CR分数和术后ICU转移.
- 多变量逻辑回归确定了手术前CAM-CR≥15,年龄≥80,心房动,中风史,骨折手术间隔≥7天,以及术后ICU转移作为独立的POD风险因素.
结论:
- 高龄 (≥80岁) 是老年关节骨折患者POD的重要风险因素.
- 手术前的认知状态 (CAM-CR ≥15),并发症 (心房动,中风病史),手术延迟 (≥7天) 和术后的重症监护室入院是POD的关键预测因素.
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