Delirium after fast-track hip and knee arthroplasty

Postoperative delirium (PD) is a serious complication after major surgery in elderly patients. PD is well defined and characterized by reduced attention and disorientation. Multimodal optimization of perioperative care (the fast-track methodology) enhances recovery, and reduces hospital stay and med...

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Veröffentlicht in:	British journal of anaesthesia : BJA 2012-04, Vol.108 (4), p.607-611
Hauptverfasser:	Krenk, L., Rasmussen, L.S., Hansen, T.B., Bogø, S., Søballe, K., Kehlet, H.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over anaesthesia recovery period Anesthesia Anesthesia Recovery Period Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Arthroplasty, Replacement, Hip - statistics & numerical data Arthroplasty, Replacement, Knee - statistics & numerical data Biological and medical sciences delirium Delirium - epidemiology Female Follow-Up Studies general surgery Humans Incidence Length of Stay Male Medical sciences Middle Aged postoperative complications Postoperative Complications - epidemiology Prospective Studies
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Beschreibung
Zusammenfassung:	Postoperative delirium (PD) is a serious complication after major surgery in elderly patients. PD is well defined and characterized by reduced attention and disorientation. Multimodal optimization of perioperative care (the fast-track methodology) enhances recovery, and reduces hospital stay and medical morbidity. No data on PD are available in fast-track surgery. The aim of this study was to evaluate the incidence of PD after fast-track hip (THA) and knee arthroplasty (TKA) with anticipated length of stay (LOS) of
ISSN:	0007-0912 1471-6771
DOI:	10.1093/bja/aer493