General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population
Aim Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture. Method This observational study comprises prospectively collected data on...
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| Veröffentlicht in: | Australasian journal on ageing 2016-03, Vol.35 (1), p.42-47 |
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| container_title | Australasian journal on ageing |
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| creator | Ilango, Sivarajah Pulle, Ranjeev Chrys Bell, Jack Kuys, Suzanne S |
| description | Aim
Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture.
Method
This observational study comprises prospectively collected data on hip fracture patients admitted between October 2010 and November 2011. Delirium was diagnosed clinically by geriatricians.
Results
Of the 344 patients admitted, seven managed conservatively and 19 with incomplete data were excluded; 318 patients were analysed. Average age was 81.6 (SD 9.8) years; 28% were men and 167 (53%) were administered general anaesthesia. Mean length of stay was 18 (SD 9.4) days. Overall, 172 patients (54%) experienced delirium. There was no apparent difference in postoperative delirium by anaesthetic type (88 vs 84, P = 0.15).
Conclusion
Delirium was common in both general and spinal anaesthetic patients. Further randomised controlled trials would be required to determine whether anaesthesia type influenced delirium rates. |
| doi_str_mv | 10.1111/ajag.12212 |
| format | Article |
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Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture.
Method
This observational study comprises prospectively collected data on hip fracture patients admitted between October 2010 and November 2011. Delirium was diagnosed clinically by geriatricians.
Results
Of the 344 patients admitted, seven managed conservatively and 19 with incomplete data were excluded; 318 patients were analysed. Average age was 81.6 (SD 9.8) years; 28% were men and 167 (53%) were administered general anaesthesia. Mean length of stay was 18 (SD 9.4) days. Overall, 172 patients (54%) experienced delirium. There was no apparent difference in postoperative delirium by anaesthetic type (88 vs 84, P = 0.15).
Conclusion
Delirium was common in both general and spinal anaesthetic patients. Further randomised controlled trials would be required to determine whether anaesthesia type influenced delirium rates.</description><identifier>ISSN: 1440-6381</identifier><identifier>EISSN: 1741-6612</identifier><identifier>DOI: 10.1111/ajag.12212</identifier><identifier>PMID: 26364948</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; anaesthesia ; Anesthesia, General - adverse effects ; Anesthesia, Spinal - adverse effects ; delirium ; Delirium - diagnosis ; Delirium - etiology ; Delirium - psychology ; Female ; Fracture Fixation ; hip fractures ; Hip Fractures - diagnosis ; Hip Fractures - surgery ; hip surgery ; Humans ; Length of Stay ; Male ; Middle Aged ; older people ; postoperative complications ; Risk Factors ; Time Factors ; Treatment Outcome</subject><ispartof>Australasian journal on ageing, 2016-03, Vol.35 (1), p.42-47</ispartof><rights>2015 AJA Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4032-49d33eecb723f0e830cbeec204f1be23e0813d2532de9ff5ff700518fe7d3cd03</citedby><cites>FETCH-LOGICAL-c4032-49d33eecb723f0e830cbeec204f1be23e0813d2532de9ff5ff700518fe7d3cd03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajag.12212$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajag.12212$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26364948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ilango, Sivarajah</creatorcontrib><creatorcontrib>Pulle, Ranjeev Chrys</creatorcontrib><creatorcontrib>Bell, Jack</creatorcontrib><creatorcontrib>Kuys, Suzanne S</creatorcontrib><title>General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population</title><title>Australasian journal on ageing</title><addtitle>Australasian Journal on Ageing</addtitle><description>Aim
Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture.
Method
This observational study comprises prospectively collected data on hip fracture patients admitted between October 2010 and November 2011. Delirium was diagnosed clinically by geriatricians.
Results
Of the 344 patients admitted, seven managed conservatively and 19 with incomplete data were excluded; 318 patients were analysed. Average age was 81.6 (SD 9.8) years; 28% were men and 167 (53%) were administered general anaesthesia. Mean length of stay was 18 (SD 9.4) days. Overall, 172 patients (54%) experienced delirium. There was no apparent difference in postoperative delirium by anaesthetic type (88 vs 84, P = 0.15).
Conclusion
Delirium was common in both general and spinal anaesthetic patients. Further randomised controlled trials would be required to determine whether anaesthesia type influenced delirium rates.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>anaesthesia</subject><subject>Anesthesia, General - adverse effects</subject><subject>Anesthesia, Spinal - adverse effects</subject><subject>delirium</subject><subject>Delirium - diagnosis</subject><subject>Delirium - etiology</subject><subject>Delirium - psychology</subject><subject>Female</subject><subject>Fracture Fixation</subject><subject>hip fractures</subject><subject>Hip Fractures - diagnosis</subject><subject>Hip Fractures - surgery</subject><subject>hip surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>older people</subject><subject>postoperative complications</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1440-6381</issn><issn>1741-6612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PAjEQhhujEUQv_gCzR2Oy2C-2u0ckghqiF4wXk6bsTqG4X7a7KP_eIsLRucy8mWfeTF6ELgnuE1-3aqUWfUIpoUeoSwQnYRQReuxnznEYsZh00JlzK4wpiWN6ijo0YhFPeNxF7xMowao8WIN1rQtcbUqvVKnANUtwRvk5C-rKNVXtwcasIcggN9a0RWBKvw0q2yyrBVijGmtSz9Zt7sGqPEcnWuUOLv56D72O72ejh3D6MnkcDadhyjGjIU8yxgDSuaBMY4gZTudeUsw1mQNlgGPCMjpgNINE64HWAuMBiTWIjKUZZj10vfOtbfXZ-sdlYVwKea5KqFoniRARjiPOtujNDk1t5ZwFLWtrCmU3kmC5TVNu05S_aXr46s-3nReQHdB9fB4gO-DL5LD5x0oOn4aTvWm4uzGuge_DjbIfMhJMDOTb80TO2HREE3wnx-wHD3KQNw</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Ilango, Sivarajah</creator><creator>Pulle, Ranjeev Chrys</creator><creator>Bell, Jack</creator><creator>Kuys, Suzanne S</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population</title><author>Ilango, Sivarajah ; Pulle, Ranjeev Chrys ; Bell, Jack ; Kuys, Suzanne S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4032-49d33eecb723f0e830cbeec204f1be23e0813d2532de9ff5ff700518fe7d3cd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>anaesthesia</topic><topic>Anesthesia, General - adverse effects</topic><topic>Anesthesia, Spinal - adverse effects</topic><topic>delirium</topic><topic>Delirium - diagnosis</topic><topic>Delirium - etiology</topic><topic>Delirium - psychology</topic><topic>Female</topic><topic>Fracture Fixation</topic><topic>hip fractures</topic><topic>Hip Fractures - diagnosis</topic><topic>Hip Fractures - surgery</topic><topic>hip surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>older people</topic><topic>postoperative complications</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ilango, Sivarajah</creatorcontrib><creatorcontrib>Pulle, Ranjeev Chrys</creatorcontrib><creatorcontrib>Bell, Jack</creatorcontrib><creatorcontrib>Kuys, Suzanne S</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian journal on ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ilango, Sivarajah</au><au>Pulle, Ranjeev Chrys</au><au>Bell, Jack</au><au>Kuys, Suzanne S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population</atitle><jtitle>Australasian journal on ageing</jtitle><addtitle>Australasian Journal on Ageing</addtitle><date>2016-03</date><risdate>2016</risdate><volume>35</volume><issue>1</issue><spage>42</spage><epage>47</epage><pages>42-47</pages><issn>1440-6381</issn><eissn>1741-6612</eissn><abstract>Aim
Postoperative delirium is common among elderly hip surgery patients. We aimed to pragmatically evaluate whether type of anaesthesia influenced postoperative delirium in an orthogeriatric population following hip fracture.
Method
This observational study comprises prospectively collected data on hip fracture patients admitted between October 2010 and November 2011. Delirium was diagnosed clinically by geriatricians.
Results
Of the 344 patients admitted, seven managed conservatively and 19 with incomplete data were excluded; 318 patients were analysed. Average age was 81.6 (SD 9.8) years; 28% were men and 167 (53%) were administered general anaesthesia. Mean length of stay was 18 (SD 9.4) days. Overall, 172 patients (54%) experienced delirium. There was no apparent difference in postoperative delirium by anaesthetic type (88 vs 84, P = 0.15).
Conclusion
Delirium was common in both general and spinal anaesthetic patients. Further randomised controlled trials would be required to determine whether anaesthesia type influenced delirium rates.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>26364948</pmid><doi>10.1111/ajag.12212</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Australasian journal on ageing, 2016-03, Vol.35 (1), p.42-47 |
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| source | Access via Wiley Online Library; MEDLINE |
| subjects | Age Factors Aged Aged, 80 and over anaesthesia Anesthesia, General - adverse effects Anesthesia, Spinal - adverse effects delirium Delirium - diagnosis Delirium - etiology Delirium - psychology Female Fracture Fixation hip fractures Hip Fractures - diagnosis Hip Fractures - surgery hip surgery Humans Length of Stay Male Middle Aged older people postoperative complications Risk Factors Time Factors Treatment Outcome |
| title | General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population |
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