Effect of preoperative sleep disorders on delirium in proximal femoral surgery patients aged 60 or older
To examine the effect of preoperative sleep disorders on delirium in patients older than 60 years of age who underwent surgery for proximal femoral fracture. This is a prospective observational study. We prospectively selected 143 patients with proximal femoral fracture who underwent surgery between...
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Veröffentlicht in: | BMC anesthesiology 2023-11, Vol.23 (1), p.376-376, Article 376 |
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Sprache: | eng |
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Zusammenfassung: | To examine the effect of preoperative sleep disorders on delirium in patients older than 60 years of age who underwent surgery for proximal femoral fracture.
This is a prospective observational study. We prospectively selected 143 patients with proximal femoral fracture who underwent surgery between April 2021 and April 2022. The primary outcome was postoperative delirium (PD). Multiple logistic regression analyses were performed and a receiver operating characteristic (ROC) curve was generated. The preoperative sleep quality of all eligible participants was assessed through the Pittsburgh Sleep Quality Index (PSQI). The Confusion Assessment Method (CAM) was used to assess PD from the first to the seventh day postoperatively. Patients were divided into two groups according to the PD diagnosis: (1) the no PD (NPD) group and (2) the PD (PD) group.
Of 143 eligible patients, 43 (30.1%) were diagnosed with PD. Multiple logistic regression analysis demonstrated that postoperative ICU admissions (OR = 2.801, p = 0.049) and preoperative sleep disorders (OR = 1.477 p |
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ISSN: | 1471-2253 1471-2253 |
DOI: | 10.1186/s12871-023-02331-6 |