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P0337 - Mortality after delirium in elderly hip-surgery patients. A 2 years follow-up study

Published online by Cambridge University Press:  16 April 2020

M.G. Kat ,
J.F. de Jonghe ,
R. Vreeswijk ,
T. van der Ploeg ,
W.A. van Gool ,
P. Eikelenboom  and
C.J. Kalisvaart
M.G. Kat
Affiliation:
Medical Center Alkmaar, Alkmaar, The Netherlands
J.F. de Jonghe
Affiliation:
Medical Center Alkmaar, Alkmaar, The Netherlands
R. Vreeswijk
Affiliation:
Medical Center Alkmaar, Alkmaar, The Netherlands
T. van der Ploeg
Affiliation:
Medical Center Alkmaar, Alkmaar, The Netherlands
W.A. van Gool
Affiliation:
Amsterdam Medical Center, Amsterdam, The Netherlands
P. Eikelenboom
Affiliation:
Amsterdam Medical Center, Amsterdam, The Netherlands Vrije University, Amsterdam, The Netherlands
C.J. Kalisvaart
Affiliation:
Medical Center Alkmaar, Alkmaar, The Netherlands

Abstract

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Background and Aims:

To study the long term effects of delirium in elderly hip-surgery patients on cognitive mortality.

Methods:

This is a prospective study. Medical school-affiliated general hospital in Alkmaar, The Netherlands. Participants (n=603) from the €Haloperidol Prophylaxis for Elderly Hip-Surgery Patients at Risk for Delirium. A Randomized Placebo-Controlled Study (Kalisvaart et al., 2005). Patients with and without post-operative delirium were followed for 2 years. Mortality risk associated with delirium was estimated using a Cox proportional hazards regression model; the outcome was time to death.

Results:

A total of 75/603 patients (12.4%) died during the study period (table 1). Incidence of delirium was higher in patients who died compared with those who survived (HR 2.16, CI 1.30-3.58). They were more often at risk for delirium as indicated by higher rates of cognitive impairment and visual impairment.

Conclusion:

Delirium after hip-surgery and delirium risk factors are associated with long-term follow-up mortality.

Type
Poster Session II: Memory And Cognitive Disorders
Information
European Psychiatry , Volume 23 , Issue S2: 16th AEP Congress - Abstract book - 16th AEP Congress , April 2008 , pp. S291
Copyright
Copyright © European Psychiatric Association 2008
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