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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(3)

Is dislocation following total hip arthroplasty caused while suffering from delirium?

https://doi.org/10.18999/nagjms.83.3.601
https://doi.org/10.18999/nagjms.83.3.601
eef90813-61a0-4d71-9d23-ec985f2235c4
名前 / ファイル ライセンス アクション
15_Kobayashi.pdf 15_Kobayashi.pdf (218 KB)
Item type itemtype_ver1(1)
公開日 2021-09-16
タイトル
タイトル Is dislocation following total hip arthroplasty caused while suffering from delirium?
言語 en
著者 Kobayashi, Takaomi

× Kobayashi, Takaomi

en Kobayashi, Takaomi

Search repository
Morimoto, Tadatsugu

× Morimoto, Tadatsugu

en Morimoto, Tadatsugu

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Sonohata, Motoki

× Sonohata, Motoki

en Sonohata, Motoki

Search repository
Mawatari, Masaaki

× Mawatari, Masaaki

en Mawatari, Masaaki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 total hip arthroplasty
キーワード
主題Scheme Other
主題 dislocation
キーワード
主題Scheme Other
主題 postoperative delirium
内容記述
内容記述 The mechanisms and pathologies of dislocation following total hip arthroplasty (THA) in patients with postoperative delirium remain unclear. Therefore, we conducted a retrospective study of 738 patients (738 hips) who underwent unilateral THA for the treatment of hip osteoarthritis. The patients were divided into two groups; with (n = 8) and without postoperative delirium (n = 730). Patients with postoperative delirium had a higher rate of dislocation following THA due to falling from a standing position on hospitalization than those without postoperative delirium (1/8 [12.5%] patients vs. 0/730 [0%] patients, p = 0.011). A power of 80.2% was provided for the rate of dislocation following THA due to falling from a standing position on hospitalization. Postoperative delirium after THA could be a cause of falling from standing position, leading to dislocation following THA during hospitalization. Therefore, postoperative delirium and its associated falls and injuries during hospitalization should be avoided by the elimination of patient’s preventable conditions and adjustment of the hospital environments, particularly in patients with the risk factors for postoperative delirium (eg, older age, general anesthesia, medications given [intraoperative opioids and ketamine and postoperative ketamine and benzodiazepines], higher comorbidity burden [diabetes mellitus, renal diseases, depression, anxiety, and psychoses], and blood transfusions). Further investigations with a larger cohort are needed to clarify this issue.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.3.601
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/833.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 3, p. 601-607, 発行日 2021-08
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