keyword
https://read.qxmd.com/read/38404698/beyond-the-joint-exploring-the-interplay-between-mental-health-and-shoulder-arthroplasty-outcomes
#1
REVIEW
Mohammad Daher, Peter Boufadel, Ryan Lopez, Ralph Chalhoub, Mohamad Y Fares, Joseph A Abboud
Considering the fact that mental health illnesses increase with age, and that shoulder arthroplasty procedures are often indicated in the older population, exploring the relationship between mental health and shoulder arthroplasty outcomes can have pivotal implications for shoulder surgeons and patients worldwide. The literature has shown that patients with poor mental health report lower patient-reported outcomes, higher peri-operative complications (such as anemia, infection, delirium, and others), lengthier hospital stays, and higher readmission rates than the normal patient...
June 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38342131/lateral-wall-thickness-is-not-associated-with-revision-risk-of-medially-stable-intertrochanteric-fractures-fixed-with-a-sliding-hip-screw
#2
JOURNAL ARTICLE
Bin Chen, Andrew D Duckworth, Luke Farrow, You J Xu, Nick D Clement
AIMS: This study aimed to determine whether lateral femoral wall thickness (LWT) < 20.5 mm was associated with increased revision risk of intertrochanteric fracture (ITF) of the hip following sliding hip screw (SHS) fixation when the medial calcar was intact. Additionally, the study assessed the association between LWT and patient mortality. METHODS: This retrospective study included ITF patients aged 50 years and over treated with SHS fixation between 2019 and 2021 at a major trauma centre...
February 12, 2024: Bone & joint open
https://read.qxmd.com/read/38335150/the-association-of-preoperative-diabetes-with-postoperative-delirium-in-older-patients-undergoing-major-orthopedic-surgery-a-prospective-matched-cohort-study
#3
JOURNAL ARTICLE
Zixiang Shang, Yu Jiang, Panpan Fang, Wenjie Zhu, Jiaxin Guo, Lili Li, Yongjie Liang, Sichen Zhang, Shenglan Ma, Bin Mei, Yinguang Fan, Zhongcong Xie, Qiying Shen, Xuesheng Liu
BACKGROUND: Postoperative delirium (POD) is a common form of postoperative brain dysfunction, especially in the elderly. However, its risk factors remain largely to be determined. This study aimed to investigate whether (1) preoperative diabetes is associated with POD after elective orthopedic surgery and (2) intraoperative frontal alpha power is a mediator of the association between preoperative diabetes and POD. METHODS: This was a prospective matched cohort study of patients aged 60 years or more, with a preoperative diabetes who underwent elective orthopedic surgery...
February 9, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38300234/the-utilization-of-preoperative-steroids-safely-decreases-the-risk-of-postoperative-delirium-in-geriatric-patients-after-hip-fracture-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#4
JOURNAL ARTICLE
Anthony N Baumann, Grayson M Talaski, Mathias A Uhler, Albert T Anastasio, Kempland C Walley, Christian A Pean, Rajesh R Tampi, Michel Farivar
OBJECTIVES: Postoperative delirium is an acute neurocognitive complication that can have adverse effects on outcomes of geriatric patients after undergoing hip fracture surgery. The objective of this study was to examine the efficacy of preoperative steroids in preventing postoperative delirium after hip fracture surgery. METHODS: Data Sources: A systematic review and meta-analysis was performed using PubMed, SPORTDiscus, CINAHL, MEDLINE, and Web of Science from database inception until September 28th, 2023...
January 31, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38267405/prediction-models-for-postoperative-delirium-in-elderly-patients-with-machine-learning-algorithms-and-shapley-additive-explanations
#5
JOURNAL ARTICLE
Yuxiang Song, Di Zhang, Qian Wang, Yuqing Liu, Kunsha Chen, Jingjia Sun, Likai Shi, Baowei Li, Xiaodong Yang, Weidong Mi, Jiangbei Cao
Postoperative delirium (POD) is a common and severe complication in elderly patients with hip fractures. Identifying high-risk patients with POD can help improve the outcome of patients with hip fractures. We conducted a retrospective study on elderly patients (≥65 years of age) who underwent orthopedic surgery with hip fracture between January 2014 and August 2019. Conventional logistic regression and five machine-learning algorithms were used to construct prediction models of POD. A nomogram for POD prediction was built with the logistic regression method...
January 25, 2024: Translational Psychiatry
https://read.qxmd.com/read/38250320/reduction-of-postoperative-delirium-and-opioid-use-in-hip-fracture-patients-through-utilization-of-emergency-department-physician-administered-regional-nerve-blocks
#6
JOURNAL ARTICLE
Cathy Snapp, Brandon Byrd, Michael Porter
INTRODUCTION: The complication of delirium for hip fracture patients is a predictor of mortality. Use of opioid medication increases the incidence of delirium in the pre- and postoperative periods. Regional nerve blocks are effective in managing acute pain for acute hip fractures. This study aims to evaluate the utilization of ED physicians to perform fascia iliaca nerve blocks on hip fracture patients to decrease the incidence of delirium by decreasing usage of opioid medication. METHODS: A quality improvement project for performing regional nerve blocks on patients with femoral neck fractures was implemented during fiscal year 2019...
2024: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/38161403/accelerated-care-of-patients-with-hip-fractures-is-associated-with-lower-risk-of-delirium-and-infection-and-a-shorter-length-of-hospital-stay-systematic-review-and-meta-analysis-of-level-one-evidence
#7
REVIEW
S Panth, E Wilson, B Chen, N D Clement
OBJECTIVES: The aim of this systematic review was to assess the impact of time to surgery on patient mortality, peri-operative complication rates and length of stay following a hip fracture using level one data. DATA SOURCES: Multiple databases (PubMed, Embase, Medline (Ovid), and Cochrane Library) were searched using terms for "hip fracture" and the intervention "early surgery". Results were filtered to only included randomised controlled trials in the English language published from the year 2000...
January 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38096619/risk-prediction-models-for-postoperative-delirium-in-elderly-patients-with-fragility-hip-fracture-a-systematic-review-and-critical-appraisal
#8
REVIEW
Bingqian Zhou, Ai Wang, Hong Cao
BACKGROUND: Elderly patients with fragility hip fracture continue to experience a high rate of postoperative delirium (POD), which has a significant negative impact on prognosis and imposes a huge economic burden. A number of risk prediction models have been developed to detect POD early. However, the risk of bias and clinical applicability of the models remain unclear. The aim of this study was to systematically evaluate risk prediction models for POD. METHODS: CNKI, WanFang DATA, Vip Database, SinoMed, PubMed, Web of Science, Embase, and the Cochrane Library were searched for studies published by July 2023...
December 10, 2023: International Journal of Orthopaedic and Trauma Nursing
https://read.qxmd.com/read/38076249/comparison-of-case-and-control-groups-in-terms-of-postoperative-complications-outcomes-and-survival-in-total-hip-arthroplasty-patients-with-and-without-covid-19
#9
JOURNAL ARTICLE
Fadime Cinar, Semra Bulbuloglu
INTRODUCTION: Total hip aarthroplasty (THA) is not performed worldwide as an emergency surgical procedure and has often been postponed during the COVID-19 pandemic. The hypothesis of this study was that COVID-19 caused the extra burden and mortality of THA patients. This study aimed to investigate the problems caused by comorbid COVID-19 in addition to the current clinical status in patients who had undergone THA. MATERIALS AND METHODS: A case-control group study was conducted with the participation of patients with COVID-19 and without COVID-19 who had undergone THA and were hospitalized in an orthopedic clinic and intensive care unit at a research and training hospital...
2023: Frontiers in Medicine
https://read.qxmd.com/read/38070309/nurse-led-ultrasound-guided-femoral-nerve-block-a-randomised-controlled-trial-of-two-different-patient-flow-systems-in-an-emergency-department
#10
RANDOMIZED CONTROLLED TRIAL
Elin Saga, Ragnhild S Falk, Pia C Bing-Jonsson, Kirsti I Skovdahl, Espen Lindholm
INTRODUCTION: Elderly with hip fractures present complex challenges. Effective pain management is crucial for recovery and quality of life. However, pain control can be difficult and requires customized care. METHODS: We conducted an unblinded, randomised controlled trial investigating the effects of ultrasound-guided femoral nerve block in patients with hip fracture performed by specially trained nurses (Group Nurse) compared to anaesthesiologists (Group Anaesthesiologist)...
February 2024: International Journal of Orthopaedic and Trauma Nursing
https://read.qxmd.com/read/38037804/anesthesia-via-peripheral-nerve-blocks-during-total-knee-replacement-has-no-effect-on-postoperative-inflammation-in-elderly-patients
#11
JOURNAL ARTICLE
Bin Lu, Jianwen Jin, Shujun Pei, Maowei Gong, Junle Liu
BACKGROUND: We have previously shown that, compared with general anesthesia (GA), the procedure of peripheral nerve blocks (PNB) facilitates faster recovery of elderly patients from total knee replacement (TKR). Here, we investigated whether the faster recovery is associated with decreased perioperative stress and inflammation and decreased incidences of postoperative complications. METHODS: After randomization, 165 patients aged ≥65 years underwent TKR under GA or PNB...
2023: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/38032243/cochrane-in-corr%C3%A2-non-pharmacological-interventions-for-preventing-delirium-in-hospitalized-non-icu-patients
#12
JOURNAL ARTICLE
Maram Khaled, Kim Madden
No abstract text is available yet for this article.
November 30, 2023: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/37926567/-effects-of-preoperative-quetiapine-on-postoperative-delirium-and-sleep-quality-in-elderly-orthopaedic-patients
#13
JOURNAL ARTICLE
Y P Yang, Y Y Ding, Y Y Wang, W W Wang, K P Ye, Q G Ye, J Li
Objective: To investigate the effects of preoperative quetiapine on postoperative delirium (POD) and sleep quality in elderly orthopedic patients. Methods: Prospectively, 111 elderly patients, American Society of Anesthesiologists (ASA) grade Ⅱ-Ⅲ, scheduled to undergo knee or hip surgery in the Affiliated Huangyan Hospital of Wenzhou Medical University under continuous spinal anesthesia from August 2021 to March 2023, were selected and randomly divided into two groups by random number table: control group (group C, 1 h preoperative placebo) and quetiapine group (group Q, 1 h preoperative quetiapine 12...
November 7, 2023: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/37860382/retracted-development-and-validation-of-a-postoperative-delirium-prediction-model-for-elderly-orthopedic-patients-in-the-intensive-care-unit
#14
Journal Of Healthcare Engineering
[This retracts the article DOI: 10.1155/2021/9959077.].
2023: Journal of Healthcare Engineering
https://read.qxmd.com/read/37848364/level-of-implementation-of-pain-management-and-early-mobilization-strategies-to-prevent-delirium-in-geriatric-trauma-patients-a-mixed-methods-study
#15
JOURNAL ARTICLE
Maryline Beaudoin, Etienne L Belzile, Céline Gélinas, David Trépanier, Marcel Émond, Marc-Aurèle Gagnon, Mélanie Bérubé
BACKGROUND: Pain management and early mobilization strategies are recommended in clinical practice guidelines for the prevention of delirium in older adults. However, available data on the implementation of these strategies in trauma are limited. AIMS: To describe the use of pain management and early mobilization strategies in older adults at a level I trauma center, as well as the facilitators and barriers to their implementation. METHODS: A convergent mixed methods study was used...
September 29, 2023: International Journal of Orthopaedic and Trauma Nursing
https://read.qxmd.com/read/37753546/comparing-the-effect-of-spinal-and-general-anesthesia-for-hip-fracture-surgery-in-older-patients-a-meta-analysis-of-randomized-clinical-trials
#16
JOURNAL ARTICLE
Hua Lin, Ying Zhu, Cheng Ren, Teng Ma, Ming Li, Zhong Li, Yibo Xu, Qian Wang, Jing Hu, Kun Zhang
OBJECTIVE: Hip fractures are the most common fractures among older adults, with most patients undergoing surgery. The debate regarding the type of anesthetic technique for hip fracture surgery is still ongoing. This meta-analysis aimed to compare the intraoperative and postoperative outcomes of spinal and general anesthesia in older patients undergoing hip fracture surgery. METHODS: Eligible studies that compared the effects of spinal and general anesthesia were systematically searched from PubMed, Embase, and the Cochrane Library until May 27, 2022...
December 2023: Orthopaedic Surgery
https://read.qxmd.com/read/37701542/effects-of-surgical-treatment-modalities-on-postoperative-cognitive-function-and-delirium-in-elderly-patients-with-extremely-unstable-hip-fractures
#17
JOURNAL ARTICLE
Xue Zhou, Xiao-Hua Chen, Sheng-Hua Li, Nan Li, Feng Liu, Hao-Ming Wang
BACKGROUND: As the perioperative risk of elderly patients with extremely unstable hip fractures (EUHFs) is relatively high and therapeutic effect is not satisfactory, new thera-peutic strategies need to be proposed urgently to improve the efficacy and clinical outcomes of such patients. AIM: To determine the influence of two surgical treatment modalities on postoperative cognitive function (CF) and delirium in elderly patients with EUHFs. METHODS: A total of 60 elderly patients consecutively diagnosed with EUHF between September 2020 and January 2022 in the Chongqing University Three Gorges Hospital were included...
August 19, 2023: World Journal of Psychiatry
https://read.qxmd.com/read/37649978/postoperative-delirium-is-a-risk-factor-of-institutionalization-after-hip-fracture-an-observational-cohort-study
#18
JOURNAL ARTICLE
François Labaste, François Delort, Fabrice Ferré, Fanny Bounes, Nicolas Reina, Philippe Valet, Cédric Dray, Vincent Minville
INTRODUCTION: Hip fracture is a common clinical problem in geriatric patients often associated with poor postoperative outcomes. Postoperative delirium (POD) and postoperative neurocognitive disorders (NCDs) are particularly frequent. The consequences of these disorders on postoperative recovery and autonomy are not fully described. The aim of this study was to determine the role of POD and NCDs on the need for institutionalization at 3 months after hip fracture surgery. METHOD: A population-based prospective cohort study was conducted on hip fracture patients between March 2016 and March 2018...
2023: Frontiers in Medicine
https://read.qxmd.com/read/37589954/risk-factors-for-opioid-related-adverse-drug-events-among-older-adults-after-hospitalization-for-major-orthopedic-procedures
#19
JOURNAL ARTICLE
Shoshana J Herzig, Timothy S Anderson, Richard D Urman, Yoojin Jung, Long H Ngo, Ellen P McCarthy
OBJECTIVES: Older adults undergoing orthopedic procedures are commonly discharged from the hospital on opioids, but risk factors for postdischarge opioid-related adverse drug events (ORADEs) have not been previously examined. We aimed to identify risk factors for ORADEs after hospital discharge following orthopedic procedures. METHODS: This is a retrospective cohort study of a national sample of Medicare beneficiaries 65 years or older, who underwent major orthopedic surgery during hospitalization in 2016 and had an opioid fill within 2 days of discharge...
October 1, 2023: Journal of Patient Safety
https://read.qxmd.com/read/37563257/analysis-of-risk-factors-for-postoperative-delirium-in-middle-aged-and-elderly-fracture-patients-in-the-perioperative-period
#20
JOURNAL ARTICLE
Zhongcheng An, Liangen Xiao, Chen Chen, Lianguo Wu, Hao Wei, Xiaoping Zhang, Liqiang Dong
To investigate the incidence rate and risk factors of postoperative delirium in middle-aged and elderly patients with fracture. A total of 648 middle-aged and elderly fracture patients who underwent surgical treatment in our hospital from January 2018 to December 2020 were included in the study, aged 50-103 years, mean 70.10 ± 11.37 years. The incidence of postoperative delirium was analyzed. Univariate analysis was used to screen the risk factors of gender, age, interval between injury and operation, preoperative complications, fracture site, anesthesia method, operation time, intraoperative blood loss, hidden blood loss and hormone use...
August 10, 2023: Scientific Reports
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