Article
Medicine, General & Internal
Zhe Chu, Yixuan Wu, Xuanhui Dai, Cuicui Zhang, Qianfeng He
Summary: This study analyzed the risk factors for postoperative delirium in patients with hip fracture, finding that a history of delirium, diabetes mellitus, hypoxemia, hypoalbuminemia, and low body mass index were independent risk factors. Cutoff values for postoperative blood sugar, albumin, and BMI were identified for predicting delirium occurrence.
Article
Psychiatry
Xiao-Hong Liu, Qing-Fu Zhang, Ying Liu, Qing-Wang Lu, Jian-Hua Wu, Xiao-Hua Gao, Zhi-Yuan Chen
Summary: This study retrospectively analyzed the occurrence of postoperative delirium and its associated risk factors in patients who underwent hip surgery. The incidence rate of postoperative delirium after hip surgery was found to be 32.9%. Various factors, including age, height, gender, preoperative and postoperative ESR levels, preoperative lactate levels, pain scores on the first day after surgery, and the specific surgical procedure performed, were found to be linked to the development of postoperative delirium. Additionally, the occurrence of delirium in the post-anesthesia care unit (PACU) was a strong indicator of the likelihood of experiencing postoperative delirium.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Orthopedics
Weifang Xu, Haiping Ma, Wang Li, Chen Zhang
Summary: This study identified several independent risk factors for postoperative delirium in hip fracture patients, including preoperative albumin level, history of delirium, TSH level, resting score on the first postoperative day, and age. Monitoring these factors may be beneficial for predicting and managing postoperative delirium.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Medicine, General & Internal
Francois Labaste, Francois Delort, Fabrice Ferre, Fanny Bounes, Nicolas Reina, Philippe Valet, Cedric Dray, Vincent Minville
Summary: This study aimed to determine the role of postoperative delirium (POD) and postoperative neurocognitive disorders (NCDs) on the need for institutionalization at 3 months after hip fracture surgery. The study found that POD was significantly associated with the risk of long-term care, while NCDs were not. Preventing POD is essential for improving patient outcomes and the potential to return home.
FRONTIERS IN MEDICINE
(2023)
Article
Medicine, Research & Experimental
Dequn Kong, Weihua Luo, Zhijun Zhu, Sixin Sun, Jian Zhu
Summary: Postoperative delirium is highly prevalent in elderly patients with hip fracture and is associated with various risk factors. Clinical preventive measures targeting these risk factors are necessary to reduce the incidence of postoperative delirium.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2022)
Review
Medicine, General & Internal
Yaqi Hua, Yi Yuan, Xin Wang, Liping Liu, Jianting Zhu, Dongying Li, Ping Tu
Summary: This study systematically evaluated the risk prediction models for postoperative delirium in older adult hip fracture patients. The results showed that the established models had satisfactory predictive performance but there were also issues such as high risk of bias and lack of external validation.
FRONTIERS IN MEDICINE
(2023)
Review
Geriatrics & Gerontology
Juan Wu, Yushuang Yin, Man Jin, Bixi Li
Summary: This study identified 14 risk factors associated with postoperative delirium in adult patients after hip fracture surgery, including individual factors like age and sex, as well as anesthetic and operative factors like regional anesthesia and transfusion. These risk factors can help identify high-risk patients who require close monitoring by clinicians.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2021)
Article
Medicine, General & Internal
Sug Hun Che, Myung-Rae Cho, Patrick Michael Quinn, Suk-Kyoon Song
Summary: This study aimed to identify risk factors for hip fractures in elderly Korean patients, especially in patients with osteoporosis. The retrospective analysis of 168 patients showed that lower body weight, BMI, and BMD Z-scores were associated with a higher incidence of intertrochanteric fractures compared to femoral neck fractures. This suggests that there is a correlation between low body weight, BMI, and BMD Z-scores and an increased risk of intertrochanteric fractures in elderly Korean patients.
Article
Geriatrics & Gerontology
Samuel Hawley, Dominic Inman, Celia L. Gregson, Michael Whitehouse, Antony Johansen, Andrew Judge
Summary: This study aims to identify risk factors and examine associations with returning home or recovery of mobility among hip fracture patients who have normal preoperative cognition. The results show that patients with postoperative delirium are less likely to return home or regain outdoor mobility. Multiple factors, including deficits in preoperative cognition and malnutrition, increase the risk of delirium, while the use of preoperative nerve blocks reduces the risk. Understanding the importance of preventing postoperative delirium and identifying high-risk patients can potentially improve outcomes for hip fracture patients.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Medicine, General & Internal
Eic Ju Lim, Won Uk Koh, Hyungtae Kim, Ha-Jung Kim, Hyun-Chul Shon, Ji Wan Kim
Summary: Postoperative delirium is common in elderly patients with hip fracture, and pain is a major risk factor for delirium. Regional nerve blocks (RNBs) are effective in controlling pain and reducing delirium incidence. A study involving 252 patients showed that RNB was associated with lower delirium rates and better pain control in elderly patients undergoing hip surgery.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Geriatrics & Gerontology
Ha-Jung Kim, Sooho Lee, Sung-Hoon Kim, Sangho Lee, Ji-Hoon Sim, Young-Jin Ro
Summary: This study aimed to assess the association of an elevated C-reactive protein (CRP)/albumin ratio with the increased incidence of postoperative delirium in elderly people who had undergone hip fracture surgery. The study found that a high CRP/albumin ratio was significantly associated with a higher incidence of postoperative delirium and a higher rate of overall mortality in elderly patients undergoing hip fracture surgery.
EXPERIMENTAL GERONTOLOGY
(2023)
Letter
Medicine, General & Internal
Koji Takahashi, Tomohiko Sato, Toshiyuki Ikeda
Summary: The WHiTE 5 trial results showed that elderly patients with hip fracture who underwent cemented hemiarthroplasty had higher postoperative health-related quality of life and lower risk of periprosthetic fracture compared to those who underwent uncemented hemiarthroplasty. However, there is a concern that postoperative delirium may have influenced the assessment of quality of life in this population, particularly at early follow-up.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Surgery
Jiawei Shen, Youzhong An, Baoguo Jiang, Peixun Zhang
Summary: This study developed and validated a prediction score for postoperative delirium in geriatric patients undergoing hip fracture surgery or hip arthroplasty, identifying 9 predictive factors. The prediction model showed good calibration in two cohorts.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Hong Zhao, Jiaming You, Yuexing Peng, Yi Feng
Summary: The study aimed to predict postoperative delirium risk in elderly patients undergoing hip fracture repair surgeries using machine learning models. Sixteen risk factors contributing to delirium development were identified, with preparation time, frailty index, dementia/history of stroke being the most important risk factors.
FRONTIERS IN SURGERY
(2021)
Article
Chemistry, Medicinal
Xiaofen Li, Jimin Wu, Haiyan Lan, Weifeng Shan, Qiaomin Xu, Xiaoli Dong, Gongchen Duan
Summary: This study found that intraoperative intravenous lidocaine can reduce the incidence of postoperative delirium in elderly patients with hip fracture, without increasing the risk of local anesthetic toxicity.
DRUG DESIGN DEVELOPMENT AND THERAPY
(2023)
Correction
Otorhinolaryngology
Sung Jin Min, Hyun Kang, Kyung Soo Kim, Hyun Jin Min
AURIS NASUS LARYNX
(2023)
Article
Orthopedics
Hong Seok Kim, Jung-Wee Park, Jun Won Park, You-Jung Ha, Young-Kyun Lee, Yun Jong Lee, Kyung-Hoi Koo
Summary: This study developed a radiographic measurement using 3D hip models to evaluate the femoroacetabular space and validated its reliability and validity in symptomatic patients. The results showed that small FAEA was an independent risk factor for FAIS.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Article
Orthopedics
Jung-Wee Park, Young-Seung Ko, Young-Kyun Lee, Yong-Chan Ha, Kyung-Hoi Koo
Summary: This study evaluated the long-term clinical and radiographic outcomes of total hip arthroplasty using Delta ceramic-on-ceramic bearings. The results showed that the ceramic bearings did not fracture, but the incidence of squeaking increased. Some complications were observed after surgery, but the overall survivorship was good.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Endocrinology & Metabolism
Seong Hee Ahn, You Jin Lee, Seongbin Hong, Jung Wee Park, Ye Jhin Jeon, Bit-Na Yoo, Yong-Chan Ha, Jean Kyung Bak, Ha Young Kim, Young-Kyun Lee
Summary: Postoperative hypoparathyroidism (PO-hypoPT) is an uncommon complication of total thyroidectomy in thyroid cancer patients. The risk of fractures, especially vertebral fractures, is significantly lower in thyroid cancer patients with PO-hypoPT compared to those with preserved parathyroid function.
JOURNAL OF BONE AND MINERAL RESEARCH
(2023)
Article
Medicine, General & Internal
SeungYoung Lee, Min Kyoung Kim, EunJin Ahn, YongHun Jung
Summary: This retrospective study compared mortality and short-term complications in patients undergoing total knee arthroplasty (TKA) under general anesthesia or regional anesthesia. The study found that regional anesthesia was associated with lower rates of major complications such as myocardial infarction and acute renal failure, as well as lower admission to the intensive care unit and medical costs.
Review
Medicine, General & Internal
Hyoung-Chul Oh, Hyun Kang
Summary: Preprints are preliminary research reports that have not yet been peer-reviewed and have been widely adopted to promote timely research dissemination. While they provide valuable resources, they also raise concerns about unsupported conclusions and the integrity of journals.
KOREAN JOURNAL OF INTERNAL MEDICINE
(2023)
Article
Oncology
Sung Han Kim, Ye Jhin Jeon, Jean Kyung Bak, Bit-Na Yoo, Jung-Wee Park, Yong-Chan Ha, Young-Kyun Lee
Summary: This study examined the impact of androgen deprivation therapy (ADT) on osteoporotic fractures (OF) and its prognostic effect on overall survival in patients with localized or regional prostate cancer (PC) by using the Korean National Insurance Dataset. The study found that ADT was associated with a significantly higher incidence of OF, but there was no significant difference in overall survival between the ADT and non-ADT groups.
Review
Medicine, General & Internal
Jung-Wee Park, Tae Woo Kim, Chong Bum Chang, Minji Han, Jong Jin Go, Byung Kyu Park, Woo-Lam Jo, Young-Kyun Lee
Summary: This meta-analysis evaluates the efficacy and safety of Floseal in total knee arthroplasty. The results show that using a thrombin-based hemostatic agent significantly reduces hemoglobin decline and the risk of allogenic transfusion, but has no significant impact on drainage volume or total blood loss. Funnel plots indicate no evidence of publication bias. Further well-designed randomized controlled trials with longer follow-up periods are needed to assess long-term efficacy and safety.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Yong -Gum Park, Boo Seop Kim, Kyu-Tae Kang, Yong -Chan Ha
Summary: This prospective randomized controlled study aimed to determine the effects of abdominal massage on constipation management in elderly patients with hip fractures. The study found that patients in the massage group had significantly fewer constipation remedies and fewer defecation failures compared to the control group on postoperative day 5 and at discharge. Therefore, abdominal massage may be considered as an independent nursing initiative for constipation management.
CLINICS IN ORTHOPEDIC SURGERY
(2023)
Article
Medicine, General & Internal
Yun Seong Choi, Jung -Wee Park, Tae Woo Kim, Kee Soo Kang, Young-Kyun Lee, Kyung-Hoi Koo, Chong Bum Chang
Summary: This study aimed to assess the effect of total hip arthroplasty (THA) on coronal limb alignment, determine factors related to HKA changes, and examine the impact on knee joint space width. The study found that a significant reduction in NSA could lead to pronounced varus alignment after THA, which had negative effects on the medial compartment of the ipsilateral knee.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2023)
Article
Orthopedics
Hong Seok Kim, Jung -Wee Park, Young-Kyun Lee, Jeong Joon Yoo
Summary: This study evaluated the outcomes of using a novel cementless modular, fluted, tapered stem in total hip arthroplasty (THA) cases with unstable metaphysis or a large degree of femoral bone loss. The results showed satisfactory clinical and radiological outcomes in the early-to mid-term, indicating that this modular femoral system can provide adequate fixation and be a practical option in complicated THA.
CLINICS IN ORTHOPEDIC SURGERY
(2023)
Review
Anesthesiology
Je Jin Lee, Geun Joo Choi, Won Jun Lee, Sang Bong Choi, Hyun Kang
Summary: This study investigated the effectiveness of heated-humidified breathing circuit (HHBC) in maintaining the core temperature of patients receiving mechanical ventilation under general anesthesia. The analysis of 18 randomized controlled trials revealed that patients with HHBC had significantly higher core temperature at the end of surgery compared to those without any device or with heat and moisture exchanger. This suggests that HHBC can be used as an effective supplemental device to maintain intraoperative core temperature.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2023)
Article
Medicine, General & Internal
Geun Joo Choi, Hyun Kang, Oh Haeng Lee, Ji Wung Kwon
Summary: This study aimed to compare the analgesic properties of immature and mature Rubus occidentalis extracts (iROE and mROE) using a rat model of postoperative pain. The results showed that iROE had better analgesic and anti-inflammatory effects compared to mROE. The analgesic activity of iROE may be associated with α2-adrenergic and opioid receptors.
MEDICINA-LITHUANIA
(2023)
Article
Orthopedics
Jung-Wee Park, Hong-Seok Kim, Ki-Choul Kim, Young-Kyun Lee, Yong-Chan Ha, Kyung-Hoi Koo
Summary: In this extended follow-up study of 273 patients who underwent THA with Delta CoC bearing, no additional ceramic fractures occurred, and the incidence of squeaking and RLLs increased. Focal osteolysis was observed around the hydroxyapatite-coated stem in 1% of patients. The long-term survivorship was 98.3% at 12 years.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Anesthesiology
Eunjin Ahn, Hyun Kang
KOREAN JOURNAL OF ANESTHESIOLOGY
(2023)