The incidence of delirium associated with orthopedic surgery: a meta-analytic review
International Psychogeriatrics, ISSN: 1041-6102, Vol: 19, Issue: 2, Page: 197-214
2007
- 278Citations
- 182Captures
Metric Options: Counts1 Year3 YearSelecting the 1-year or 3-year option will change the metrics count to percentiles, illustrating how an article or review compares to other articles or reviews within the selected time period in the same journal. Selecting the 1-year option compares the metrics against other articles/reviews that were also published in the same calendar year. Selecting the 3-year option compares the metrics against other articles/reviews that were also published in the same calendar year plus the two years prior.
Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations278
- Citation Indexes272
- 272
- CrossRef260
- Policy Citations5
- Policy Citation5
- Clinical Citations1
- PubMed Guidelines1
- Captures182
- Readers182
- 182
Review Description
Background: The aim of this study was to perform a systematic review and meta analysis of the literature regarding the incidence of delirium following orthopedic surgery. Methods: Relevant papers were sourced from online databases and gray literature. Included studies used a validated diagnostic method to measure the incidence of delirium in a prospective sample of adult/elderly orthopedic patients. Data were subject to meta-analysis after stratification by type of surgery (elective v. emergency) and inclusion/exclusion of pre-existing cognitive impairment. A funnel plot assessed for publication bias. Results: 26 publications reported an incidence of postoperative delirium of 4— 53.3% in hip fracture samples and 3.6-28.3% in elective samples. Significant heterogeneity was evident, and this persisted despite stratification. Hip fracture was associated with a higher risk of delirium than elective surgery both when the cognitively impaired were included in the sample (random effects pooled estimate = 21.7% [95% CI=14.6-28.8]vs. 12.1% [95% CI=9.6-14.6]),and when the cognitively impaired were excluded (random effects pooled estimate =25% [95% CI=15.7-34.7]vs. 8.8% [95% CI=4.1-13.6]). The funnel plot showed a deficit of small studies showing low risk and large studies showing high risk. In eight hip fracture studies, the proportion of delirium cases with a preoperative onset ranged from 34 to 92%. Conclusions: Delirium occurs more commonly with hip fracture than elective surgery, and frequently has a preoperative onset when associated with trauma. Recommendations are made with the aim of standardizing future research in order to further explore and reduce the heterogeneity and possible publication bias observed.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S1041610224048178; http://dx.doi.org/10.1017/s104161020600425x; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=33847792894&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/16973101; https://linkinghub.elsevier.com/retrieve/pii/S1041610224048178; http://www.journals.cambridge.org/abstract_S104161020600425X; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S104161020600425X
Elsevier BV
Provide Feedback
Have ideas for a new metric? Would you like to see something else here?Let us know