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. 2015 Aug;30(8):1414-7.
doi: 10.1016/j.arth.2015.03.012. Epub 2015 Mar 14.

Postoperative Delirium in Patients Undergoing Total Joint Arthroplasty: A Systematic Review

Hamid Rahmatullah Bin Abd Razak  1 , Wai Yin Ambrose Yung  2
Affiliations

Postoperative Delirium in Patients Undergoing Total Joint Arthroplasty: A Systematic Review

Hamid Rahmatullah Bin Abd Razak et al. J Arthroplasty. 2015 Aug.

Abstract

We systematically reviewed the English-language literature to assess the incidence, risk factors and prevention strategies for postoperative delirium following total joint arthroplasty (TJA). A total of 10 studies were included in the final review, of which 3 (30%) were Level I studies, 6 were Level II (60%) studies and 1 (10%) was a Level III study. Incidence of postoperative delirium ranged from 5% to 14.3%. Pre-screening of patients was shown to reduce its incidence. Independent predictors include age, history of psychiatric illness, decreased functional status and decreased verbal memory.

Keywords: delirium; outcomes; outcomestotal joint arthroplasty; postoperative; pre-screening.

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