Delirium in cardiac patients after hip fracture. Treatment of delirium

Authors

  • Francisco Manuel Brun-Romero Servicio de Medicina Interna, Hospital Universitario Puerta del Mar, Cádiz, Spain. Grupo de trabajo de Asistencia Compartida e Interconsultas de la Sociedad Española de Medicina Interna
  • Jesús Castiella-Herrero Servicio de Medicina Interna, Fundación Hospital Calahorra, Calahorra (La Rioja), Spain. Grupo de trabajo de Asistencia Compartida e Interconsultas de la Sociedad Española de Medicina Interna

DOI:

https://doi.org/10.32818/reccmi.a2n1a21

Keywords:

postoperative delirium, delirium prevention, hip fracture

Abstract

A 78-year-old man with dilated cardiomyopathy of ischemic origin who is admitted for cardiac insufficiency. During his admission he suffers a hip fracture from which he is operated. In the postoperative period he presents delirium. After the installation of environmental, preventive and neuroleptic measures, he evolves favourably. The identification of the precipitating causes of delirium, as well as the early medical treatment and the action on the risk factors of delirium, are essential to achieve therapeutic success.

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References

The American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. Postoperative Delirium in Older Adults: Best Practice Statement from the American Geriatrics Society. J Am Coll Surg. 2015; 220(2): 136-148.

Witlox J, Eurelings LS, de Jonghe JF, et al. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA. 2010; 304: 443-451.

Young J, Murthy L, Westby M, et al. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ. 2010; 341: c3704.

Published

2017-04-30

How to Cite

1.
Brun-Romero FM, Castiella-Herrero J. Delirium in cardiac patients after hip fracture. Treatment of delirium. Rev Esp Casos Clin Med Intern [Internet]. 2017 Apr. 30 [cited 2024 Dec. 26];2(1):59-61. Available from: https://www.reccmi.com/RECCMI/article/view/91