Delirium in cardiac patients after hip fracture. Treatment of delirium
DOI:
https://doi.org/10.32818/reccmi.a2n1a21Keywords:
postoperative delirium, delirium prevention, hip fractureAbstract
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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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.
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Copyright (c) 2017 Francisco Manuel Brun-Romero, Jesús Castiella-Herrero
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