Meperidine analgesia and delirium in aged hip fracture patients
Meperidine analgesia and delirium in aged hip fracture patients
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DOI：
10.1016/s0167-4943(02)00045-6
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发表时间：
2002-11-01
影响因子：
4
通讯作者：
Arad, M
中科院分区：
文献类型：
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作者：
Adunsky, A;Levy, R;Arad, M
谵妄在髋部骨折的老年患者中相当常见。医生在未意识到老年患者可能出现谵妄的情况下使用哌替啶的情况非常普遍。我们回顾性研究了入住老年骨科病房的181例髋部骨折连续患者的谵妄发生率。我们使用意识模糊评估法来确定所有患者是否存在谵妄。进行了数据库搜索以确定哪些患者在谵妄发作前使用了哌替啶或吗啡治疗。我们确定了92例病例，其中44例仅用哌替啶治疗，另外48例仅用吗啡治疗。在使用吗啡治疗的患者中有13例（27.1%）被诊断出谵妄，而在使用哌替啶治疗的患者中有19例（43.2%）被诊断出谵妄（P（此处似乎内容不完整）
Delirium is quite frequent in elderly patients who sustain hip fractures. The use of Meperidine by physicians, unaware of the possible emergence of delirium in elderly patients, is very popular. We have retrospectively examined the incidence of delirium in 181 consecutive patients admitted to the orthogeriatric ward with hip fractures. We used the confusion assessment method to establish the presence of delirium in all patients. A database search was conducted to identify which patients were treated by Meperidine, or Morphine, prior to delirium onset. We identified 92 cases, 44 of whom were treated by Meperidine alone, and the other 48 treated by Morphine alone. Delirium was diagnosed in 13 (27.1%) Morphine treated patients as compared with 19 (43.2%) treated by Meperidine (P