Association of Duration of Surgery With Postoperative Delirium Among Patients Receiving Hip Fracture Repair
Author(s) -
Bheeshma Ravi,
Daniel Pincus,
Stephen Choi,
Richard Jenkinson,
David Wasserstein,
Donald A. Redelmeier
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.0111
Subject(s) - medicine , delirium , hip fracture , duration (music) , surgery , anesthesia , psychiatry , osteoporosis , art , literature
Key Points Question Is surgery duration associated with postoperative delirium in patients receiving hip fracture repair? Findings In this population-based cohort study of 68 131 adults, increasing surgery duration was associated with a higher risk-adjusted likelihood of postoperative delirium (6% increase in delirium risk per additional half hour of surgery). This risk was higher in patients who received a general anesthetic. Meaning The findings suggest that prolonged surgery is associated with increased postoperative delirium, particularly when the patient has received a general anesthetic.
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