| 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
Morimoto, Tadatsugu
Sonohata, Motoki
Mawatari, Masaaki
|
| 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 |
| 権利 |
|
|
言語 |
en |
|
権利情報Resource |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
権利情報 |
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International |
| 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 |
|
|
内容記述タイプ |
Abstract |
|
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 |
| 出版者 |
|
|
出版者 |
Nagoya University Graduate School of Medicine, School of Medicine |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
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
|
15_Kobayashi.pdf (218 KB)
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