Journal
JOURNAL OF ARTHROPLASTY
Volume 30, Issue 8, Pages 1414-1417Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2015.03.012
Keywords
postoperative; delirium; outcomestotal joint arthroplasty; outcomes; pre-screening
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We systematically reviewed the English-language literature to assess the incidence, risk factors and prevention strategies for postoperative delirium following total joint arthroplasty (TJA). A total of 10 studies were included in the final review, of which 3 (30%) were Level I studies, 6 were Level II (60%) studies and 1 (10%) was a Level III study. Incidence of postoperative delirium ranged from 5% to 14.3%. Pre-screening of patients was shown to reduce its incidence. Independent predictors include age, history of psychiatric illness, decreased functional status and decreased verbal memory. (C) 2015 Elsevier Inc. All rights reserved.
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