Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1425-1428
XU Yunyun, LU Juan, HUANG Congcong, PAN Xiaoyun, XUE Xinghe, WANG Yi. Investigation of delirium syndrome after total hip arthroplasty for femoral head necrosis and analysis of influencing factors[J]. Chinese Journal of General Practice, 2023, 21(8): 1425-1428. doi: 10.16766/j.cnki.issn.1674-4152.003137
Citation: XU Yunyun, LU Juan, HUANG Congcong, PAN Xiaoyun, XUE Xinghe, WANG Yi. Investigation of delirium syndrome after total hip arthroplasty for femoral head necrosis and analysis of influencing factors[J]. Chinese Journal of General Practice, 2023, 21(8): 1425-1428. doi: 10.16766/j.cnki.issn.1674-4152.003137
shu

Investigation of delirium syndrome after total hip arthroplasty for femoral head necrosis and analysis of influencing factors

doi: 10.16766/j.cnki.issn.1674-4152.003137

  • Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY187

  • Received Date: 2023-02-06
    Available Online: 2023-09-13
    Abstract
  •   Objective  To explore the delirium syndrome after total hip replacement in elderly patients with femoral head necrosis and its influencing factors, and to provide theoretical reference for clinical development of targeted preventive interventions.  Methods  A total of 194 cases of elderly patients with femoral head necrosis who underwent total hip replacement in the Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical University from January 2020 to May 2022 were selected as the observation subjects. The clinical data of patients were collected by self-made survey scale, and the occurrence of delirium syndrome was investigated by the Fuzzy consciousness assessment method (CAM) and the incidence of delirium syndrome was investigated. Multivariate logistic regression was used to analyze the influencing factors of delirium syndrome after total hip replacement in elderly patients with femoral head necrosis.  Results  There were 26 cases of delirium syndrome after total hip replacement in 194 elderly patients with femoral head necrosis, the incidence was 13.40%. There were differences in age, pulmonary disease, nocturnal sleep disorder, nutritional disorder, anesthesia method, operation time, intraoperative blood loss, postoperative VAS score, postoperative serum CRP level, and postoperative hypoxemia incidence between patients with and without delirium syndrome (all P < 0.05). Multivariate logistic analysis found that advanced age, pulmonary diseases, nocturnal sleep disorders, nutritional disorders, anesthesia method (general anesthesia), long operation time, large amount of intraoperative blood loss, postoperative VAS score ≥7, postoperative serum CRP level increased, and postoperative hypoxemia were the influencing factors for the occurrence of delirium syndrome after total hip replacement in elderly patients with femoral head necrosis (all P < 0.05).  Conclusion  Elderly patients with femoral head necrosis are affected by age, lung disease, sleep disorder, nutritional level and other factors, and there is a high risk of delirium after total hip replacement. Clinical preventive interventions should be provided to reduce the risk of postoperative delirium syndrome.

     

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