Predictors of postoperative delirium in elderly patients following total hip and knee arthroplasty: a systematic review and meta-analysis.

ABSTRACT:

Background

Postoperative delirium (POD) is widely reported as a common postoperative complication following total joint arthroplasty (TJA) of the hip and knee in elderly patients, leading to many adverse effects. We sought to investigate predictors of delirium after TJA.

Methods

PubMed, EMBASE, Cochrane Library and Web of Science were searched up to 2020 for studies examining POD following TJA in elderly patients. Pooled odds ratio (OR) and mean difference (MD) of those who experienced delirium compared to those who did not were calculated for each variable. The Newcastle-Ottawa Scale (NOS) was used for the study quality evaluation.

Results

Fifteen studies with 31 potential factors were included. In the primary analysis, 9 factors were associated with POD, comprising

SUBMITTER: Zhou Q 

PROVIDER: S-EPMC8588632 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature