Bin Abd Razak Hamid Rahmatullah, Yung Wai Yin Ambrose
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Singapore Sports and Orthopaedics Clinic, Singapore.
J Arthroplasty. 2015 Aug;30(8):1414-7. doi: 10.1016/j.arth.2015.03.012. Epub 2015 Mar 14.
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.
我们系统回顾了英文文献，以评估全关节置换术（TJA）后术后谵妄的发生率、危险因素及预防策略。最终综述共纳入10项研究，其中3项（30%）为I级研究，6项（60%）为II级研究，1项（10%）为III级研究。术后谵妄的发生率在5%至14.3%之间。对患者进行术前筛查可降低其发生率。独立预测因素包括年龄、精神疾病史、功能状态下降和言语记忆减退。
