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      Symptom profile of postoperative delirium in patients with and without dementia.

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          Abstract

          This study compares the symptom profile of patients with postoperative delirium after femoral neck fracture surgery in those with and without dementia. In this study, 129 patients of age ≥70 years (mean age ±SD, 86±6 yr, 72% women) with postoperative delirium, were included. Delirium and dementia were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria. Of the 129 patients with delirium, 54 (42%) had a dementia disorder. Patients with delirium superimposed on dementia more often had any hyperactive and pure emotional delirium. Communication difficulties and symptoms such as restlessness/agitation, aggressive behavior, and irritability were more commonly found in the dementia group. In contrast, patients with delirium but without dementia were more often diagnosed with pure hypoactive and any psychotic delirium. The symptom profile of postoperative delirium varies according to whether it occurs in patients with or without dementia. This may indicate that postoperative delirium among patients with hip fracture differs based on the presence or absence of dementia.

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          Author and article information

          Journal
          J Geriatr Psychiatry Neurol
          Journal of geriatric psychiatry and neurology
          SAGE Publications
          0891-9887
          0891-9887
          Sep 2012
          : 25
          : 3
          Affiliations
          [1 ] Geriatric Medicine, Umeå University, SE-901 87 Umeå, Sweden. maria.lundstrom@nurs.umu.se
          Article
          0891988712455221
          10.1177/0891988712455221
          23124010
          b11e7e2d-2b29-4007-a623-3463b3c5d2f5
          History

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