A study of hospital recovery pattern of acutely confused older patients following hip surgery

Wong, Julia; Wong, Shirley; Brooks, Elaine

doi:10.1054/joon.2002.0227

Cited by 9 publications

(2 citation statements)

References 46 publications

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“…12,37,38 Most of the patients were admitted to a hip fracture service and exhibited symptoms consistent with a hypoactive type of delirium. 1,40,41 The incidence of subsyndromal delirium in this study was close to 8% and slightly higher than that of the 7% incidence of delirium in this study. 39 The mean LOS for delirious patients in this study indicated a highly significant increase of 5.1 days compared with the mean LOS for the nondelirious patient group.…”

Section: Characteristics Of Delirious Patientscontrasting

confidence: 42%

Nurses' Recognition of Delirium in the Hospitalized Older Adult

Rice

Bennett

Gomez

et al. 2011

Clinical Nurse Specialist

113

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Section: Characteristics Of Delirious Patientscontrasting

confidence: 42%

Nurses' Recognition of Delirium in the Hospitalized Older Adult

Rice

Bennett

Gomez

et al. 2011

Clinical Nurse Specialist

113

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“…Many hospitalized patients receive analgesic medications that can alter arousal and cognitive function [1]. Furthermore, although certain types of noncerebral surgery for disabling illnesses, including carotid endarterectomy, cardiac bypass surgery, hip arthroplasty, artery bypass graft, and thoracic surgery, have been reported to be associated with cognitive deficits [2,3], treating physicians nonetheless may underdiagnose cognitive deficits in hospitalized patients without brain injury because such associations are not commonly recognized [4]. Recognizing cognitive status is important because it may affect rehabilitation outcome and the transfer of rehabilitation skills to the home after discharge.…”

Section: Introductionmentioning

confidence: 99%

Pervasive Cognitive Impairment in Acute Rehabilitation Inpatients Without Brain Injury

Woods¹,

Mark²,

Pitts³

et al. 2011

PM&R

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Objective To establish feasibility for the hypothesis that patients in acute rehabilitation who are hospitalized for disorders not known to involve cerebral injury can have significant cognitive impairment. Design A comparison of performances on neuropsychological tests between 2 samples of subjects: inpatients in an acute rehabilitation hospital without known cerebral disease and normal community-dwelling persons. Setting Acute inpatient rehabilitation hospital. Patients and Participants Nineteen hospitalized patients without delirium who were screened for pre-existing cerebral and psychiatric illness, dementia, and dependency in basic self-care skills before hospitalization. Eighteen community-dwelling persons who were not different in terms of age and education served as the control group. Methods Participants completed 10 commonly used neuropsychological tests of executive, language, and memory functions. Data were analyzed by using multivariate analysis of variance. Main Outcome Measurements Raw scores on the 10 neuropsychological tests. Results Hospitalized patients performed significantly worse on 9 of 10 tests than community-dwelling participants. Older hospitalized participants had significantly greater cognitive impairment than younger hospitalized participants, which suggested increased susceptibility to effects of hospitalization on cognition. Conclusions Patients hospitalized without brain injury, and especially elderly patients, should be carefully monitored for cognitive deficits that may affect posthospitalization quality of living. Further research is needed to determine whether the cognitive deficits in such patients persist after discharge and affect functional independence, and to identify mechanisms for the deficits. Furthermore, the use of hospitalized participants without brain injury as control subjects in neuropsychological studies of brain injury should be balanced with an additional comparison group of matched, neurologically healthy, normal subjects who live in the community to control for cognitive impairments that are associated with acute hospitalization.

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The effect of music on acute confusion in older adults after hip or knee surgery

McCaffrey

2009

Applied Nursing Research

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A study of hospital recovery pattern of acutely confused older patients following hip surgery

Cited by 9 publications

References 46 publications

Nurses' Recognition of Delirium in the Hospitalized Older Adult

Nurses' Recognition of Delirium in the Hospitalized Older Adult

Pervasive Cognitive Impairment in Acute Rehabilitation Inpatients Without Brain Injury

The effect of music on acute confusion in older adults after hip or knee surgery

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