Yıl: 2020 Cilt: 5 Sayı: 1 Sayfa Aralığı: 26 - 30 Metin Dili: İngilizce DOI: DOI: 10.5152/cjms.2020.1102 İndeks Tarihi: 21-10-2020

Delirium Awareness and Treatment Approach in Orthopedics Clinic

Öz:
BACKGROUND/AIMSOrthopedic clinics are among the leading clinics in hospitals that request consultation for patients with delirium. However, delirium isoften missed by nurses and physicians, resulting in an incorrect diagnosis. This study aimed to identify patients with delirium in theorthopedic clinics and describe our approach for these patients.MATERIAL and METHODSAfter forming a strategy for the diagnosis, treatment, and follow-up of patients with delirium, prospective follow-up was performed forpatients hospitalized in the orthopedic ward. High-risk patients were screened using the Nursing Delirium Screening Scale, and patientsdiagnosed with delirium were evaluated using a prepared form. This approach was used to determine the risk factors for delirium, ensurepatient safety, and treat the symptoms of delirium.RESULTSTotal 988 patients were evaluated, and 34 (2.44%) were diagnosed with delirium. The mean age of the patients was 66.17±22.68 years.The mean duration of delirium was 2.88±0.84 days. An age group-based comparison showed that the duration of delirium in olderpatients was significantly longer than that in younger patients (3.08±0.9 vs. 2.45±0.52 d, p=0.042). Further, delirium duration was moreamong men than among women (3.0 vs. 2.2 d, p=0.031).CONCLUSIONRapid identification of delirium and determination of the etiological cause allows timely and appropriate correction of the conditionIdentification of delirium by the medical team and the use of a systemic approach are important in treatment. The duration of delirium islonger in men and the elderly; further, most delirious patients have more than one risk factor for delirium.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Setters B, Solberg LM. Delirium. Prim Care Clin Off Pract 2017; 44(3): 541-59. [CrossRef]
  • 2. Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet 2014; 383(9920): 911-22. [CrossRef]
  • 3. Grover S, Malhotra S, Bharadwaj R, Bn S, Kumar S. Delirium in Children and Adolescents. Int J Psychiatry Med 2009; 39(2): 179-87. [CrossRef]
  • 4. Weinrebe W, Johannsdottir E, Karaman M, Füsgen I. Was kostet ein Delir?: Eine ökonomische Bewertung des hypermotorischen Delirs. Z Gerontol Geriatr 2016; 49(1): 52-8. [CrossRef]
  • 5. Rizk P, Morris W, Oladeji P, Huo M. Review of Postoperative Delirium in Geriatric Patients Undergoing Hip Surgery. Geriatr Orthop Surg Rehabil 2016; 7(2): 100-5. [CrossRef]
  • 6. Edelstein DM, Aharonoff GB, Karp A, Capla EL, Zuckerman JD, Koval KJ. Effect of postoperative delirium on outcome after hip fracture. Clin Orthop Relat Res 2004; (422): 195-200. [CrossRef]
  • 7. Brauer C, Morrison RS, Silberzweig SB, Siu AL. The cause of delirium in patients with hip fracture. Arch Intern Med 2000; 160(12): 1856-60. [CrossRef]
  • 8. Neitzel J, Sendelbach S, Larson LR. Delirium in the orthopaedic patient. Orthop Nurs 2007; 26(6): 354-63. [CrossRef]
  • 9. Carnes M, Howell T, Rosenberg M, Francis J, Hildebrand C, Knuppel J. Physicians vary in approaches to the clinical management of delirium. J Am Geriatr Soc 2003; 51(2): 234-9. [CrossRef]
  • 10. Bölüktaş RP. Assessment, prevention, and management strategies of delirium in elderly patients in intensive care units. Yoğun Bakım Hemşireliği Derg 2015; 19(2): 68-79.
  • 11. Smith TO, Cooper A, Peryer G, Griffiths R, Fox C, Cross J. Factors predicting incidence of post-operative delirium in older people following hip fracture surgery: a systematic review and meta-analysis. Int J Geriatr Psychiatry 2017; 32(4): 386-96. [CrossRef]
  • 12. Maldonado JR. Delirium pathophysiology: An updated hypothesis of the etiology of acute brain failure. Int J Geriatr Psychiatry 2018; 33(11): 1428-57. [CrossRef]
  • 13. Inouye SK, Bogardus ST, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, et al. A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients. N Engl J Med 2002; 340(9): 669-76. [CrossRef]
  • 14. Gaudreau JD, Gagnon P, Harel F, Tremblay A, Roy MA. Fast, systematic, and continuous delirium assessment in hospitalized patients: The nursing delirium screening scale. J Pain Symptom Manage 2005; 29(4): 368-75. [CrossRef]
  • 15. Slor CJ, Witlox J, Adamis D, Meagher DJ, Ploeg T Van Der, Jansen RWMM, et al. Predicting Delirium Duration in Elderly Hip-Surgery Patients: Does Early Symptom Profile Matter? Curr Gerontol Geriatr Res 2013; 2013(1997): 1-9. [CrossRef]
  • 16. Weckmann M. Delirium Incidence and Cause in Younger Hospitalized Patients With Advanced Cancer (783). J Pain Symptom Manage 2012; 43(2): 470. [CrossRef]
  • 17. Zhang H, Lu Y, Liu M, Zou Z, Wang L, Xu FY, et al. Strategies for prevention of postoperative delirium: A systematic review and meta-analysis of randomized trials. Crit Care 2013; 17(2): R47. [CrossRef]
  • 18. Inouye SK, Zhang Y, Jones RN, Kiely DK, Yang F, Marcantonio ER. Risk Factors for Delirium at Discharge. Arch Intern Med 2007; 167(13): 1406. [CrossRef]
  • 19. Hipp DM, Ely EW. Pharmacological and Nonpharmacological Management of Delirium in Critically Ill Patients. Neurotherapeutics 2012; 9(1): 158-75. [CrossRef]
APA PAZARCI Ö, kılınç s, bekmez f, çiğdem b, Öztemür Z (2020). Delirium Awareness and Treatment Approach in Orthopedics Clinic. , 26 - 30. DOI: 10.5152/cjms.2020.1102
Chicago PAZARCI Özhan,kılınç seyran,bekmez fatma,çiğdem burhanettin,Öztemür Zekeriya Delirium Awareness and Treatment Approach in Orthopedics Clinic. (2020): 26 - 30. DOI: 10.5152/cjms.2020.1102
MLA PAZARCI Özhan,kılınç seyran,bekmez fatma,çiğdem burhanettin,Öztemür Zekeriya Delirium Awareness and Treatment Approach in Orthopedics Clinic. , 2020, ss.26 - 30. DOI: 10.5152/cjms.2020.1102
AMA PAZARCI Ö,kılınç s,bekmez f,çiğdem b,Öztemür Z Delirium Awareness and Treatment Approach in Orthopedics Clinic. . 2020; 26 - 30. DOI: 10.5152/cjms.2020.1102
Vancouver PAZARCI Ö,kılınç s,bekmez f,çiğdem b,Öztemür Z Delirium Awareness and Treatment Approach in Orthopedics Clinic. . 2020; 26 - 30. DOI: 10.5152/cjms.2020.1102
IEEE PAZARCI Ö,kılınç s,bekmez f,çiğdem b,Öztemür Z "Delirium Awareness and Treatment Approach in Orthopedics Clinic." , ss.26 - 30, 2020. DOI: 10.5152/cjms.2020.1102
ISNAD PAZARCI, Özhan vd. "Delirium Awareness and Treatment Approach in Orthopedics Clinic". (2020), 26-30. https://doi.org/DOI: 10.5152/cjms.2020.1102
APA PAZARCI Ö, kılınç s, bekmez f, çiğdem b, Öztemür Z (2020). Delirium Awareness and Treatment Approach in Orthopedics Clinic. Cyprus Journal of Medical Sciences, 5(1), 26 - 30. DOI: 10.5152/cjms.2020.1102
Chicago PAZARCI Özhan,kılınç seyran,bekmez fatma,çiğdem burhanettin,Öztemür Zekeriya Delirium Awareness and Treatment Approach in Orthopedics Clinic. Cyprus Journal of Medical Sciences 5, no.1 (2020): 26 - 30. DOI: 10.5152/cjms.2020.1102
MLA PAZARCI Özhan,kılınç seyran,bekmez fatma,çiğdem burhanettin,Öztemür Zekeriya Delirium Awareness and Treatment Approach in Orthopedics Clinic. Cyprus Journal of Medical Sciences, vol.5, no.1, 2020, ss.26 - 30. DOI: 10.5152/cjms.2020.1102
AMA PAZARCI Ö,kılınç s,bekmez f,çiğdem b,Öztemür Z Delirium Awareness and Treatment Approach in Orthopedics Clinic. Cyprus Journal of Medical Sciences. 2020; 5(1): 26 - 30. DOI: 10.5152/cjms.2020.1102
Vancouver PAZARCI Ö,kılınç s,bekmez f,çiğdem b,Öztemür Z Delirium Awareness and Treatment Approach in Orthopedics Clinic. Cyprus Journal of Medical Sciences. 2020; 5(1): 26 - 30. DOI: 10.5152/cjms.2020.1102
IEEE PAZARCI Ö,kılınç s,bekmez f,çiğdem b,Öztemür Z "Delirium Awareness and Treatment Approach in Orthopedics Clinic." Cyprus Journal of Medical Sciences, 5, ss.26 - 30, 2020. DOI: 10.5152/cjms.2020.1102
ISNAD PAZARCI, Özhan vd. "Delirium Awareness and Treatment Approach in Orthopedics Clinic". Cyprus Journal of Medical Sciences 5/1 (2020), 26-30. https://doi.org/DOI: 10.5152/cjms.2020.1102