Abstract
There are various reports on the effects of the anesthetic method on neurologic complications. A population-based study was conducted to estimate the effect of anesthetic method on the incidence of postoperative delirium in patients that underwent total hip replacement arthroplasty in South Korea. The Korean National Health Insurance claims database was used to retrospectively identify and analyze 24,379 cases of total hip replacement arthroplasty, defined as patients having a claim record with the operation code 'N0711,' from January 2008 to December 2017. Patients were divided into two groups, a general anesthesia group (n = 9,921) and a regional anesthesia group (n = 14,458). The incidence of delirium was assessed in cases when patients used medications for delirium, such as haloperidol, chlorpromazine, olanzapine, and risperidone. Of the 9,921 patients receiving general anesthesia and 14,458 receiving regional anesthesia, 142 (1.43%) and 209 (0.86%) experienced postoperative delirium after total hip replacement arthroplasty, respectively. There was no significant difference between the groups (P = 0.92). In logistic regression analysis, sex (P = 0.038) and patients with acquired immune deficiency syndrome (P = 0.008) were p...Continue Reading
References
Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Jun 1, 1988·Journal of the American Geriatrics Society·Y GustafsonB Winblad
Aug 1, 1980·Acta Anaesthesiologica Scandinavica·A HoleH Breivik
Oct 1, 1993·Journal of Clinical Epidemiology·P S RomanoJ G Jollis
Jan 1, 1993·Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases·T HidakaK Tamura
May 24, 2000·British Journal of Anaesthesia·S C UrwinR Griffiths
Jun 14, 2002·Journal of Clinical Epidemiology·Patricia HalfonBernard Burnand
Mar 22, 2003·Acta Anaesthesiologica Scandinavica·L S RasmussenUNKNOWN ISPOCD2(International Study of Postoperative Cognitive Dysfunction) Investigators
Mar 26, 2003·Anesthesia and Analgesia·Deborah J CulleyGregory Crosby
Dec 25, 2004·Journal of Clinical Epidemiology·Vijaya SundararajanWilliam A Ghali
May 3, 2005·British Journal of Anaesthesia·T A Pham-MarcouJ-X Mazoit
Jul 28, 2005·European Journal of Anaesthesiology·A PapaioannouH Askitopoulou
Oct 15, 2005·Medical Care·Hude QuanWilliam A Ghali
Jun 29, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Gregory L Bryson, Anna Wyand
Oct 17, 2008·British Journal of Anaesthesia·O AhlersD Keh
Feb 27, 2010·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Kyoung Hoon Kim
Nov 26, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·T J LugerJ Kreutziger
Dec 31, 2010·The New England Journal of Medicine·Emery N BrownNicholas D Schiff
Jul 2, 2011·Journal of the American Geriatrics Society·Chantal J SlorKees J Kalisvaart
Jun 21, 2012·Anesthesiology·Mark D NeumanLee A Fleisher
Jul 5, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Linda Le-WendlingAndre Boezaart
Mar 17, 2015·General Hospital Psychiatry·J E ScottA C Kneebone
Mar 31, 2015·The Journal of Arthroplasty·Hamid Rahmatullah Bin Abd Razak, Wai Yin Ambrose Yung
Feb 24, 2016·The Cochrane Database of Systematic Reviews·Joanne GuaySandra Kopp
Apr 18, 2018·British Journal of Anaesthesia·S M WeinsteinS G Memtsoudis
Dec 7, 2018·BMJ Open·Vanisha PatelJoyce Yeung