Abstract
The fracture of the proximal femur or hip fracture in the elderly usually happens after a fall and carries a high morbidity and mortality. One of the most common complications during hospitalization for hip fracture is the onset of delirium or acute confusional state that in elderly patients has a negative impact on the hospital stay, and prognosis, worsening functional ability, cognitive status and mortality. Also the development of delirium during hospitalization increases health care costs. Strategies to prevent and treat delirium during hospitalization for hip fracture have been less studied. In this context, this paper aims to conduct a review of the literature on strategies that exist in the prevention and treatment of delirium in elderly patients with hip fracture.
Keywords:
Delirium; Delírium; Fractura de cadera; Hip fracture; Postoperative; Postoperatorio; Prevención y control; Prevention and control; Tratamiento; Treatment.
Copyright © 2013 Elsevier España, S.L. All rights reserved.
MeSH terms
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Aged
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Anesthesia, Epidural / adverse effects
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Anesthesia, General / adverse effects
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Benzodiazepines / adverse effects
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Benzodiazepines / therapeutic use
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Cognition Disorders / etiology
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Cognition Disorders / prevention & control
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Combined Modality Therapy
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Confusion / etiology
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Confusion / prevention & control
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Cytidine Diphosphate Choline / therapeutic use
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Delirium / etiology
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Delirium / prevention & control*
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Delirium / therapy
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Haloperidol / therapeutic use
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Hip Fractures / psychology*
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Hip Fractures / surgery
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Hip Fractures / therapy
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Hospitalization
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Humans
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Hypnotics and Sedatives / administration & dosage
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Hypnotics and Sedatives / therapeutic use
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Length of Stay / statistics & numerical data
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Multicenter Studies as Topic
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Narcotics / adverse effects
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Narcotics / therapeutic use
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Nerve Block
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Pain Management
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Postoperative Complications / etiology
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Postoperative Complications / prevention & control
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Postoperative Complications / psychology
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Randomized Controlled Trials as Topic
Substances
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Hypnotics and Sedatives
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Narcotics
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Benzodiazepines
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Cytidine Diphosphate Choline
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Haloperidol