Post‐Operative Delirium: Predictors and Prognosis in Elderly Orthopedic Patients

To compare the effect of post‐operative analgesia using epidural versus intravenous infusions on the incidence of delirium after bilateral knee replacement surgery in elderly patients. Additional risk factors and impact on post‐operative recovery were also assessed.

[1]  B. Nilsson,et al.  Episodic cardiac arrhythmia and femoral neck fracture. , 2009, Acta medica Scandinavica.

[2]  J. Miller,et al.  Delirium in the elderly. , 1993, Nursing.

[3]  C. Cohen.  Screening for cognitive impairment in the elderly. , 1991, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[4]  S K Inouye,et al.  Clarifying confusion: the confusion assessment method. A new method for detection of delirium. , 1990, Annals of internal medicine.

[5]  Z. J. Lipowski.  Delirium (acute confusional states). , 1990, JAMA.

[6]  W. Kapoor,et al.  A prospective study of delirium in hospitalized elderly. , 1990, JAMA.

[7]  A. Sandler,et al.  Epidural and Intravenous Fentanyl Infusions Are Clinically Equivalent After Knee Surgery , 1990, Anesthesia and analgesia.

[8]  L. Dorr,et al.  Fat emboli in bilateral total knee arthroplasty. Predictive factors for neurologic manifestations. , 1989, Clinical orthopaedics and related research.

[9]  R. Naugle,et al.  Limitations of the Mini-Mental State Examination. , 1989, Cleveland Clinic journal of medicine.

[10]  G. Fox,et al.  Anaesthesia for hip surgery in the elderly , 1989, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[11]  T. M. Kashner,et al.  Survival experience of aged hip fracture patients. , 1989, American journal of public health.

[12]  K. Rockwood,et al.  Acute Confusion in Elderly Medical Patients , 1989, Journal of the American Geriatrics Society.

[13]  F. Langonnet,et al.  [Postoperative agitation. A new cause]. , 1988, Cahiers d'anesthesiologie.

[14]  F. Gengo,et al.  The Effect of ß-Blockers on Mental Performance on Older Hypertensive Patients , 1988 .

[15]  S. Rubin,et al.  The Examination of Physicians' Awareness of Dementing Disorders , 1987, Journal of the American Geriatrics Society.

[16]  A. Grant,et al.  Prospective, multi-centre trial of mortality following general or spinal anaesthesia for hip fracture surgery in the elderly. , 1987, British journal of anaesthesia.

[17]  L. Tune,et al.  Association of elevated plasma anticholinergic activity with delirium in surgical patients. , 1987, The American journal of psychiatry.

[18]  T. Manner,et al.  Use of simple tests to determine the residual effects of the analgesic component of balanced anaesthesia. , 1987, British journal of anaesthesia.

[19]  W. Kukull,et al.  Adverse drug reactions associated with global cognitive impairment in elderly persons. , 1987, Annals of internal medicine.

[20]  E. Bruera,et al.  Delirium and severe sedation in patients with terminal cancer. , 1987, Cancer treatment reports.

[21]  Y. Gustafson,et al.  Postoperative Confusion after Anesthesia in Elderly Patients with Femoral Neck Fractures , 1987, Anesthesia and analgesia.

[22]  G K Ions,et al.  Prediction of survival in patients with femoral neck fractures. , 1987, The Journal of bone and joint surgery. British volume.

[23]  D. Denson,et al.  Comparison of Continuous Epidural Infusion of a Local Anesthetic and Administration of Systemic Narcotics in the Management of Pain after Total Knee Replacement Surgery , 1987, Anesthesia and analgesia.

[24]  L. Melton,et al.  Psychotropic drug use and the risk of hip fracture. , 1987, The New England journal of medicine.

[25]  H. Moses,et al.  Neurologic consultations in a general hospital. Spectrum of latrogenic disease. , 1986, The American journal of medicine.

[26]  J. Yesavage,et al.  Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. , 1986 .

[27]  S. Braver,et al.  The measurement of clinical pain intensity: a comparison of six methods , 1986, Pain.

[28]  T. Erkinjuntti,et al.  Dementia among medical inpatients. Evaluation of 2000 consecutive admissions. , 1986, Archives of internal medicine.

[29]  M. Braunstein,et al.  Comparison of Psychomotor Skills and Amnesia after Induction of Anesthesia with Midazolam or Thiopental , 1986, Anesthesia and analgesia.

[30]  Donald C. Martin,et al.  Neuropsychological Changes in a Young, Healthy Population after Controlled Hypotensive Anesthesia , 1986, Anesthesia and analgesia.

[31]  C. Mackenzie,et al.  Reversibility of cognitive impairment in medical inpatients. , 1986, Archives of internal medicine.

[32]  S. Rashiq,et al.  Role of drugs in fractures of the femoral neck , 1986, British medical journal.

[33]  N. Billig,et al.  Assessment of Depression and Cognitive Impairment After Hip Fracture , 1986, Journal of the American Geriatrics Society.

[34]  R. Portenoy,et al.  I.v. infusion of opioids for cancer pain: clinical review and guidelines for use. , 1986, Cancer treatment reports.

[35]  D. Bigler,et al.  Mental function and morbidity after acute hip surgery during spinal and general anaesthesia , 1985, Anaesthesia.

[36]  J. McCartney,et al.  Assessment of Cognitive Deficit in Geriatric Patients , 1985, Journal of the American Geriatrics Society.

[37]  H. Kehlet,et al.  Immediate and long-term mental recovery from general versus epidural anesthesia in elderly patients. , 1983, Acta anaesthesiologica Scandinavica.

[38]  T. Healy,et al.  Profile of recovery after general anaesthesia. , 1983, British medical journal.

[39]  T. L. Brink,et al.  Screening tests for geriatric depression , 1982 .

[40]  U. Karhunen,et al.  A Comparison of Memory Function Following Local and General Anaesthesia for Extraction of Senile Cataract , 1982 .

[41]  P. Rabins,et al.  Delirium and dementia: diagnostic criteria and fatality rates. , 1982 .

[42]  D. Elmqvist,et al.  Cardiovascular and neurological function in elderly patients sustaining a fracture of the neck of the femur. , 1981, The Journal of bone and joint surgery. British volume.

[43]  L. Tune,et al.  ASSOCIATION OF POSTOPERATIVE DELIRIUM WITH RAISED SERUM LEVELS OF ANTICHOLINERGIC DRUGS , 1981, The Lancet.

[44]  C. Guilleminault,et al.  Sleep‐Wake Disorders in the Elderly: A Polysomnographic Analysis , 1981, Journal of the American Geriatrics Society.

[45]  H. Millar.  Psychiatric Morbidity in Elderly Surgical Patients , 1981, British Journal of Psychiatry.

[46]  H. Dudley,et al.  Morphine: controlled trial of different methods of administration for postoperative pain relief. , 1980, British medical journal.

[47]  M. Chin,et al.  Nursing Activities and Acute Confusional States: in Elderly Hip‐Fractured Patients , 1979, Nursing research.

[48]  R. Shader,et al.  Depression in the Elderly. I. Relationship between Depression, Psychologic Defense Mechanisms and Physical Illness * , 1978, Journal of the American Geriatrics Society.

[49]  V. C. Martin.  Hypoxaemia in elderly patients suffering from fractured neck of femur * , 1977, Anaesthesia.

[50]  K. Korttila,et al.  Recovery, Psychomotor Skills, and Simulated Driving after Brief Inhalational Anesthesia with Halothane or Enflurane Combined with Nitrous Oxide and Oxygen , 1977, Anesthesiology.

[51]  D. Bruce,et al.  Effects of trace anaesthetic gases on behavioural performance of volunteers. , 1976, British journal of anaesthesia.

[52]  S. Folstein,et al.  “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician , 1975 .

[53]  W. Stevens,et al.  Psychological Effects of Halothane and Isoflurane Anesthesia , 1975, Anesthesiology.

[54]  E. Blundell.  A psychological study of the effects of surgery on eighty-six elderly patients. , 1967, The British journal of social and clinical psychology.

[55]  S. Guze,et al.  THE PROGNOSIS IN "ORGANIC BRAIN" SYNDROMES. , 1964, The American journal of psychiatry.

[56]  M. Bross,et al.  Delirium in the elderly patient. , 1994, American family physician.

[57]  F. Gengo,et al.  The effect of beta-blockers on mental performance on older hypertensive patients. , 1988, Archives of internal medicine.

[58]  K. Ritchie.  The screening of cognitive impairment in the elderly: a critical review of current methods. , 1988, Journal of clinical epidemiology.

[59]  C. Mackenzie,et al.  A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. , 1987, Journal of chronic diseases.

[60]  J. Calabrese,et al.  Incidence of postoperative delirium following myocardial revascularization. A prospective study. , 1987, Cleveland Clinic journal of medicine.

[61]  J. Merchant.  Medical assessment of the elderly surgical patient , 1986 .

[62]  M. Rogers,et al.  Psychological intervention with surgical patients: evaluation outcome. , 1986, Advances in psychosomatic medicine.

[63]  M. Albert,et al.  The clinical utility of the dementia rating scale for assessing Alzheimer patients. , 1984, Journal of chronic diseases.

[64]  P N Prinz,et al.  Memory, attention, and functional status in community-residing Alzheimer type dementia patients and optimally healthy aged individuals. , 1984, Journal of gerontology.

[65]  V. Leirer,et al.  Development and validation of a geriatric depression screening scale: a preliminary report. , 1982, Journal of psychiatric research.

[66]  J. Katz.  Epidural Versus General Anaesthesia for Total Hip Arthroplasty in Elderly Patients , 1981, Regional Anesthesia & Pain Medicine.

[67]  G. Smith,et al.  Comparison of the effects of spinal anaesthesia and general anaesthesia on postoperative oxygenation and perioperative mortality. , 1980, British journal of anaesthesia.

[68]  S. Guze,et al.  Organic brain syndromes. Prognostic significance in general medical patients. , 1967, Archives of general psychiatry.

[69]  J. A. Aita.  NEUROLOGIC MANIFESTATIONS OF FAT EMBOLISM. , 1965, The Nebraska state medical journal.

[70]  J. Titchener,et al.  Psychosis in surgical patients. , 1956, Surgery, gynecology & obstetrics.