title: [Delirium prevention and treatment in elderly hip fracture].
abstract: The fracture of the proximal femur or hip fracture in the elderly usually happens after a fall and carries a high morbidity and mortality. One of the most common complications during hospitalization for hip fracture is the onset of delirium or acute confusional state that in elderly patients has a negative impact on the hospital stay, and prognosis, worsening functional ability, cognitive status and mortality. Also the development of delirium during hospitalization increases health care costs. Strategies to prevent and treat delirium during hospitalization for hip fracture have been less studied. In this context, this paper aims to conduct a review of the literature on strategies that exist in the prevention and treatment of delirium in elderly patients with hip fracture.
authors.affiliation: Unidad de Convalecencia, Servicio de Geriatría, Parc de Salut Mar, Centre Fòrum, Barcelona, España. Electronic address: 91737@parcdesalutmar.cat.
authors.forename: María José
authors.initials: MJ
authors.lastname: Robles
authors.affiliation: Unidad de Geriatría, Servicio de Medicina Interna, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Francesc
authors.initials: F
authors.lastname: Formiga
authors.affiliation: Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Vidán
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects; D000768:Anesthesia, General / Q000009:adverse effects; D001569:Benzodiazepines / Q000009:adverse effects / Q000627:therapeutic use; D003072:Cognition Disorders / Q000209:etiology / Q000517:prevention & control; D003131:Combined Modality Therapy; D003221:Confusion / Q000209:etiology / Q000517:prevention & control; D003566:Cytidine Diphosphate Choline / Q000627:therapeutic use; D003693:Delirium / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D006220:Haloperidol / Q000627:therapeutic use; D006620:Hip Fractures / Q000523:psychology* / Q000601:surgery / Q000628:therapy; D006760:Hospitalization; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage / Q000627:therapeutic use; D007902:Length of Stay / Q000706:statistics & numerical data; D015337:Multicenter Studies as Topic; D009294:Narcotics / Q000009:adverse effects / Q000627:therapeutic use; D009407:Nerve Block; D059408:Pain Management; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D016032:Randomized Controlled Trials as Topic
chemical_list: D006993:Hypnotics and Sedatives; D009294:Narcotics; D001569:Benzodiazepines; D003566:Cytidine Diphosphate Choline; D006220:Haloperidol
keywords: Delirium; Delírium; Fractura de cadera; Hip fracture; Postoperative; Postoperatorio; Prevención y control; Prevention and control; Tratamiento; Treatment