A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures

Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Me...

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Bibliographic Details
Published in:Orthopaedic surgery 2022-12, Vol.14 (12), p.3195-3200
Main Authors: Li, Bingbing, Ju, Jiabao, Zhao, Jiaying, Qin, Ying, Zhang, Yan
Format: Article
Language:English
Subjects:
Age
Anemia
Calibration
Cardiovascular disease
Clinical
Consciousness
Delirium
Diabetes
Electrolytes
Ethics
Females
Femoral neck fracture
Fractures
Hemoglobin
Hip replacement
Hospitals
Joint replacement surgery
Nomogram
Nomograms
Patients
Postoperative delirium
Regression analysis
Risk factors
Variables
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Summary:Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p 
ISSN:1757-7853
1757-7861
DOI:10.1111/os.13541