الفهرس 
POSTOPERATIVE DELIRIUMOnly 14 pages are availabe for public view
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Abstract
P
ostoperative delirium is a major health concern in elderly patients. Which is a common complication in elderly patients that is characterized by disorders of consciousness, attention, perception, thinking, memory, mental activity, emotions and sleep-wake cycle.
This complication usually occurs within 5 days after surgery, especially during the first 24 – 48 h postoperatively. POD impairs postoperative recovery, increases the burden of care, prolongs hospitalization time, increases the in-hospitalization mortality rate, and leads to long-term cognitive impairment or even permanent dementia.
This prospective cohort study was conducted on 80 elderly patients with hip fractures admitted to ASU hospitals in orthopedic department to assess perioperative risk factors for postoperative delirium.
Our thesis shows that 38% of our study population developed delirium preoperatively after admission, 68% developed delirium at day one postoperative versus only 37% at day two postoperatively. The average age range of all patients was 60 – 90 with mean age (68.625 ± 5.916 years).
Age & gender were no statically significant with postoperative delirium. Also, history of fracture &history of falls had no relation with postoperative delirium.
The most important perioperative risk factors in current study including:
• Preoperative history of smoking, hypertension, copd, ischemic heart disease, cognitive impairment by MMSE, functional dependency by ADL & IADL severity of pain by nonverbal pain scale.
• At day one postoperative history of diabetes, hearing, visual impairment &low serum albumin.
• At day two postoperative presence of depression by PHQ2.
RECOMMENDATIONS
• More future studies are needed to evaluate the potential additional risk factors and predictors of post-operative delirium in this age group and in different ages.
• This study should be applied on large number of population.
• More studies are needed to evaluate the prevalence of postoperative delirium in relation to other types of osteoprotic fractures.
• Screening of risk factors of postoperative delirium is an important concern with early intervention to prevent POD.
• Adapt plans for postoperative follow up is a mandatory to prevent POD & its impact on individuals.
• Encourage further reasearches for other potential risk factors of POD.