• J Arthroplasty · Aug 2015

    Review

    Postoperative Delirium in Patients Undergoing Total Joint Arthroplasty: A Systematic Review.

    • Hamid Rahmatullah Bin Abd Razak and Wai Yin Ambrose Yung.
    • Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
    • J Arthroplasty. 2015 Aug 1;30(8):1414-7.

    AbstractWe systematically reviewed the English-language literature to assess the incidence, risk factors and prevention strategies for postoperative delirium following total joint arthroplasty (TJA). A total of 10 studies were included in the final review, of which 3 (30%) were Level I studies, 6 were Level II (60%) studies and 1 (10%) was a Level III study. Incidence of postoperative delirium ranged from 5% to 14.3%. Pre-screening of patients was shown to reduce its incidence. Independent predictors include age, history of psychiatric illness, decreased functional status and decreased verbal memory.Copyright © 2015 Elsevier Inc. All rights reserved.

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