Geriatrics & gerontology international
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Geriatr Gerontol Int · Sep 2016
Observational StudyComprehensive Geriatric Assessment is a useful predictive tool for postoperative delirium after gastrointestinal surgery in old-old adults.
To determine whether carrying out the Comprehensive Geriatric Assessment before operations would be useful for predicting complications, particularly postoperative delirium (POD), in old-old patients. ⋯ The Comprehensive Geriatric Assessment before gastrointestinal surgery can be a useful tool for predicting the development of POD in old-old patients. Geriatr Gerontol Int 2016; 16: 1036-1042.
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Geriatr Gerontol Int · Aug 2016
Controlled Clinical TrialIs preoperative state anxiety a risk factor for postoperative delirium among elderly hip fracture patients?
To determine if preoperative state anxiety is a risk factor for postoperative delirium in older hip fracture patients. ⋯ No relationship between state anxiety and postoperative delirium was found, but significant methodological hurdles were observed and discussed providing important groundwork for further research in this area. Further research should focus on reliable measurement of state anxiety in cognitively impaired older populations. Geriatr Gerontol Int 2016; 16: 948-955.
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Geriatr Gerontol Int · Jul 2016
Factors predicting perioperative delirium and acute exacerbation of behavioral and psychological symptoms of dementia based on admission data in elderly patients with proximal femoral fracture: A retrospective study.
To examine factors predicting the onset of perioperative delirium and acute exacerbation of behavioral and psychological symptoms of dementia (BPSD), based on patient background, operative background and laboratory data obtained on admission, in elderly patients with proximal femoral fracture. ⋯ History of dementia, a low serum albumin level and low peripheral lymphocyte count were found to be useful factors for predicting the onset of perioperative delirium and acute exacerbation of BPSD. Geriatr Gerontol Int 2016; 16: 821-828.
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Geriatr Gerontol Int · Jun 2016
Comparative StudyType of surgery is associated with pain and walking difficulties among older people with previous hip fracture.
The aim was to assess the level of lower body pain among people with previous femoral neck fracture, and whether the type of surgery was associated with pain and physical function a mean of 2 years after surgery. ⋯ Hip fracture patients treated with internal fixation experienced more pain and walking difficulties than the hemiarthroplasty and total hip replacement groups. Different types of surgical fixation might require different rehabilitation and pain management strategies after hip fracture. Geriatr Gerontol Int 2015; ●●: ●●-●●.
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Geriatr Gerontol Int · May 2016
Delirium among elderly patients admitted to a post-acute care facility and 3-months outcome.
To investigate the prevalence and risk factors of delirium in an extended care unit, the persistence of delirium and 3-month outcome. ⋯ Delirium in post-acute convalescence units is highly prevalent and persistent. It is associated with poor functional recovery, higher nursing home placement and unplanned hospital admission. These findings reinforce the necessity to implement a program to prevent, early detect and treat delirium in elderly patients admitted to post-acute care units. Geriatr Gerontol Int 2016; 16: 586-592.