Article

The aim of this study was to assess the prevalence of delirium among geriatric
patients with hip fractures and to examine the influence of delirium on
rehabilitation outcomes. A prospective study was carried out among 95 hip
fracture patients admitted to an orthopedic geriatric rehabilitation ward. At
admission, the following data were gathered: sociodemographic data, prefracture
Activities of Daily Living (ADL), Functional Independence Measure (FIM),
Mini-Mental State Examination, comorbidities, and medication. Delirium was
assessed using the Confusion Assessment Method. The severity of delirium among
patients with a positive score on the Confusion Assessment Method was assessed
using the Delirium Rating Scale-Revised-98 (DRS-R-98). Rehabilitation outcomes
were evaluated by comparing FIM and ADL at admission and at discharge. The
research findings showed that the prevalence of delirium among patients was 30%.
In addition, a significant difference was found between patients who developed
delirium and those who did not. Patients who developed delirium were mostly
Jewish, with lower ADL levels at admission, more significant renal failure, lower
levels of FIM, and lower Mini-Mental State Examination scores. Furthermore, FIM
at discharge and delta FIM were lower among patients who developed delirium than
among those who did not. The research conclusions indicated that the functional
recovery of patients with delirium is slower. Therefore, it is important to
adjust the therapeutic approach to these patients.

Langue : ANGLAIS