Incidence of delirium following total joint replacement in older adults: a meta-analysis

General Hospital Psychiatry
J E ScottA C Kneebone

Abstract

Delirium is common in older adults following total joint replacement (TJR) of the hip and knee. However, reports of the incidence of delirium vary widely, limiting their usefulness. The current meta-analysis therefore examined (1) the incidence of delirium in older patients who underwent TJR and (2) whether these rates vary according to the (a) joint (hip/knee replacement), (b) inclusion/exclusion of patients who underwent simultaneous bilateral surgery, (c) inclusion/exclusion of patients with preexisting cognitive impairments, (d) type of anesthesia (regional/general), (e) method/frequency of assessment, and (f) postoperative interval. Data from 24 studies (2,895 patients) that measured postsurgical delirium following TJR were analyzed. Mean weighted proportions were calculated using a random-effects model to assess the overall incidence of delirium and whether the rate varied according to the aforementioned variables. Overall, 17% of patients who underwent TJR developed delirium during hospital admission. Individual estimates varied from 0% to 82%, but this variability was not adequately explained by the variables that were examined. Delirium is relatively common following TJR; however, it remains unclear why individual esti...Continue Reading

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References

Aug 1, 1992·Journal of the American Geriatrics Society·P Williams-RussoM E Charlson
Feb 12, 1992·JAMA : the Journal of the American Medical Association·J D SchorD A Evans
Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Jan 1, 1989·International Journal of Psychiatry in Medicine·M P RogersM Albert
Aug 1, 1980·Acta Anaesthesiologica Scandinavica·A HoleH Breivik
Feb 1, 1995·Journal of the American Geriatrics Society·B W Fisher, G Flowerdew
Oct 16, 1999·Anesthesiology·P Williams-RussoT Sculco
Feb 17, 2001·International Journal of Geriatric Psychiatry·E M AnderssonI R Hallberg
Apr 21, 2001·General Hospital Psychiatry·D LitakerZ Tannous
May 3, 2001·International Journal of Geriatric Psychiatry·P GalanakisH Förstl
Jan 18, 2002·Intensive Care Medicine·E W ElyS K Inouye
Mar 14, 2002·Journal of the American Geriatrics Society·J McCuskerL Ramman-Haddad
Jan 20, 2004·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Martin G Cole
Jun 11, 2004·Journal of Clinical Nursing·Gill Sörensen Duppils, Karin Wikblad
Nov 25, 2004·Anesthesia and Analgesia·Akira KudohTomoko Takazawa
Jun 18, 2005·International Journal of Geriatric Psychiatry·A M ContínF Ramos
Mar 23, 2006·Anesthesia and Analgesia·Linnea E VaurioJacqueline M Leung
Aug 18, 2006·Postgraduate Medicine·T S Dharmarajan, Prabir Banik
Sep 16, 2006·International Psychogeriatrics·Angela J BrucePeter Raven
Nov 15, 2006·Intensive Care Medicine·Sébastien OuimetYoanna Skrobik
Mar 31, 2007·Dementia and Geriatric Cognitive Disorders·David P LoweryClive G Ballard
Apr 21, 2007·BMJ : British Medical Journal·John Young, Sharon K Inouye
Jan 16, 2008·Archives of Internal Medicine·Douglas L LeslieSharon K Inouye
Dec 26, 2008·JAMA : the Journal of the American Medical Association·William Breitbart, Yesne Alici
May 12, 2009·Applied Nursing Research : ANR·Ruth McCaffrey
Jul 29, 2010·JAMA : the Journal of the American Medical Association·Joost WitloxWillem A van Gool
Aug 12, 2010·Clinics in Geriatric Medicine·Carl T TalmoJames V Bono
Jan 13, 2011·Journal of Evaluation in Clinical Practice·Parham DaneshvarGeoffrey F Dervin
May 18, 2011·Age and Ageing·Joaquim CerejeiraElizabeta B Mukaetova-Ladinska
Aug 4, 2011·Epidemiology·Abee L BoylesKristina A Thayer
Oct 22, 2011·Clinical Nurse Specialist CNS·Karen L RiceMarquis D Foreman
Jan 5, 2012·Psychiatry Investigation·Hyo Jin LeeJeong Lan Kim
Jan 27, 2012·British Journal of Anaesthesia·L KrenkH Kehlet
Feb 10, 2012·Journal of the American Geriatrics Society·Joaquim CerejeiraElizabeta B Mukaetova-Ladinska
Mar 13, 2012·BMC Anesthesiology·Sakura KinjoJacqueline M Leung
May 4, 2012·The Journal of Arthroplasty·Danielle PetruccelliMitch Winemaker
Jun 23, 2012·Frontiers in Neurology·Sónia Martins, Lia Fernandes
Jul 4, 2012·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Matthew C RadeM C Reid
Jul 13, 2012·Journal of Cardiac Surgery·Yiyun LinZhinong Wang

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Citations

Dec 15, 2015·British Journal of Anaesthesia·P M Hopkins
Jul 7, 2017·Acta Anaesthesiologica Scandinavica·P B PetersenUNKNOWN Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group
Jul 28, 2018·Acta Anaesthesiologica Scandinavica·Sakura KinjoUNKNOWN Perioperative Medicine Research Group
Oct 28, 2016·F1000Research·Jan Jakobsson, Mark Z Johnson
Dec 24, 2019·Korean journal of anesthesiology·Bon-Nyeo Koo
Sep 4, 2018·Clinics in Orthopedic Surgery·Keith T AzizHarpal S Khanuja
May 24, 2017·Frontiers in Systems Neuroscience·Charles M GiattinoUNKNOWN MADCO-PC Investigators
Jan 24, 2021·Journal of Orthopaedic Surgery and Research·Xiao RongZong-Ke Zhou
Jun 10, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Nicholas P GloverChristine Tocchi
Oct 22, 2015·Journal of Gerontological Nursing·Inthira Roopsawang, Basia Belza

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