A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures

Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277*X1(age[value = years of age]) + 1.293*X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510*X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157*X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Bingbing Li [verfasserIn] Jiabao Ju [verfasserIn] Jiaying Zhao [verfasserIn] Ying Qin [verfasserIn] Yan Zhang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors

Übergeordnetes Werk:	In: Orthopaedic Surgery - Wiley, 2019, 14(2022), 12, Seite 3195-3200
Übergeordnetes Werk:	volume:14 ; year:2022 ; number:12 ; pages:3195-3200

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1111/os.13541

Katalog-ID:	DOAJ025325221

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520			\|a Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management.
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allfields	10.1111/os.13541 doi (DE-627)DOAJ025325221 (DE-599)DOAJ57073479bd1e40828f7cea438cdbee4b DE-627 ger DE-627 rakwb eng RD701-811 Bingbing Li verfasserin aut A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management. Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors Orthopedic surgery Jiabao Ju verfasserin aut Jiaying Zhao verfasserin aut Ying Qin verfasserin aut Yan Zhang verfasserin aut In Orthopaedic Surgery Wiley, 2019 14(2022), 12, Seite 3195-3200 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:14 year:2022 number:12 pages:3195-3200 https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/article/57073479bd1e40828f7cea438cdbee4b kostenfrei https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 12 3195-3200
spelling	10.1111/os.13541 doi (DE-627)DOAJ025325221 (DE-599)DOAJ57073479bd1e40828f7cea438cdbee4b DE-627 ger DE-627 rakwb eng RD701-811 Bingbing Li verfasserin aut A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management. Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors Orthopedic surgery Jiabao Ju verfasserin aut Jiaying Zhao verfasserin aut Ying Qin verfasserin aut Yan Zhang verfasserin aut In Orthopaedic Surgery Wiley, 2019 14(2022), 12, Seite 3195-3200 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:14 year:2022 number:12 pages:3195-3200 https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/article/57073479bd1e40828f7cea438cdbee4b kostenfrei https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 12 3195-3200
allfields_unstemmed	10.1111/os.13541 doi (DE-627)DOAJ025325221 (DE-599)DOAJ57073479bd1e40828f7cea438cdbee4b DE-627 ger DE-627 rakwb eng RD701-811 Bingbing Li verfasserin aut A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management. Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors Orthopedic surgery Jiabao Ju verfasserin aut Jiaying Zhao verfasserin aut Ying Qin verfasserin aut Yan Zhang verfasserin aut In Orthopaedic Surgery Wiley, 2019 14(2022), 12, Seite 3195-3200 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:14 year:2022 number:12 pages:3195-3200 https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/article/57073479bd1e40828f7cea438cdbee4b kostenfrei https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 12 3195-3200
allfieldsGer	10.1111/os.13541 doi (DE-627)DOAJ025325221 (DE-599)DOAJ57073479bd1e40828f7cea438cdbee4b DE-627 ger DE-627 rakwb eng RD701-811 Bingbing Li verfasserin aut A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management. Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors Orthopedic surgery Jiabao Ju verfasserin aut Jiaying Zhao verfasserin aut Ying Qin verfasserin aut Yan Zhang verfasserin aut In Orthopaedic Surgery Wiley, 2019 14(2022), 12, Seite 3195-3200 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:14 year:2022 number:12 pages:3195-3200 https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/article/57073479bd1e40828f7cea438cdbee4b kostenfrei https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 12 3195-3200
allfieldsSound	10.1111/os.13541 doi (DE-627)DOAJ025325221 (DE-599)DOAJ57073479bd1e40828f7cea438cdbee4b DE-627 ger DE-627 rakwb eng RD701-811 Bingbing Li verfasserin aut A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management. Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors Orthopedic surgery Jiabao Ju verfasserin aut Jiaying Zhao verfasserin aut Ying Qin verfasserin aut Yan Zhang verfasserin aut In Orthopaedic Surgery Wiley, 2019 14(2022), 12, Seite 3195-3200 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:14 year:2022 number:12 pages:3195-3200 https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/article/57073479bd1e40828f7cea438cdbee4b kostenfrei https://doi.org/10.1111/os.13541 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2022 12 3195-3200
language	English
source	In Orthopaedic Surgery 14(2022), 12, Seite 3195-3200 volume:14 year:2022 number:12 pages:3195-3200
sourceStr	In Orthopaedic Surgery 14(2022), 12, Seite 3195-3200 volume:14 year:2022 number:12 pages:3195-3200
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors Orthopedic surgery
isfreeaccess_bool	true
container_title	Orthopaedic Surgery
authorswithroles_txt_mv	Bingbing Li @@aut@@ Jiabao Ju @@aut@@ Jiaying Zhao @@aut@@ Ying Qin @@aut@@ Yan Zhang @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	59356393X
id	DOAJ025325221
language_de	englisch
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We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. 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callnumber-first	R - Medicine
author	Bingbing Li
spellingShingle	Bingbing Li misc RD701-811 misc Femoral neck fracture misc Hip replacement misc Nomogram misc Postoperative delirium misc Risk factors misc Orthopedic surgery A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures
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topic_title	RD701-811 A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures Femoral neck fracture Hip replacement Nomogram Postoperative delirium Risk factors
topic	misc RD701-811 misc Femoral neck fracture misc Hip replacement misc Nomogram misc Postoperative delirium misc Risk factors misc Orthopedic surgery
topic_unstemmed	misc RD701-811 misc Femoral neck fracture misc Hip replacement misc Nomogram misc Postoperative delirium misc Risk factors misc Orthopedic surgery
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title	A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures
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title_full	A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures
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author_browse	Bingbing Li Jiabao Ju Jiaying Zhao Ying Qin Yan Zhang
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title_sort	nomogram to predict delirium after hip replacement in elderly patients with femoral neck fractures
callnumber	RD701-811
title_auth	A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures
abstract	Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management.
abstractGer	Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management.
abstract_unstemmed	Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management.
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title_short	A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures
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fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ025325221</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230503110830.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2022 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1111/os.13541</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ025325221</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ57073479bd1e40828f7cea438cdbee4b</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD701-811</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Bingbing Li</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="2"><subfield code="a">A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objective Postoperative delirium (POD) is a common complication, and clinical practitioners have taken measures to improve the quality of life after hip replacement surgery. We aim to establish a nomogram to predict POD in elderly patients with femoral neck fractures (FNFs) after hip replacement. Methods A total of 384 elderly patients (267 females) with an average age of 75.8 years who underwent hip replacement from June 2010 to May 2020 were retrospectively reviewed. Patients were divided into delirium and non‐delirium groups according to the confusion assessment method. The risk factors for POD were analyzed by multivariate logistic regression, and the nomogram was established based on the results. Results The incidence of POD was 33.33% (128/384). Univariate analysis showed that advanced age, diabetes, lacunar cerebral infarction, surgery type, intraoperative blood loss, electrolyte imbalance, and anemia were risk factors for POD (p < 0.05). Multivariate logistic regression revealed that the independent risk factors for POD were age (OR = 1.332, 95% CI [1.224, 1.449], p < 0.01), surgery type (OR = 0.351, 95% CI [0.137, 0.900], p = 0.029), electrolyte imbalance (OR = 4.407, 95% CI [1.947, 9.977], p< 0.01), anemia (OR = 10.819, 95% CI [4.573, 25.598], p < 0.01). The prediction equation was established; logistic (p) = −25.469 + 0.277X1(age[value = years of age]) + 1.293X2(surgery[value = 0 for “total hip replacement” or value = 1 for “hemiarthroplasty”]) + 1.510X3(electrolyte imbalance[value = 0 for “no” or value = 1 for “yes”]) + 2.157X4(anemia[value = 1 for “hemoglobin with < 120g/L in male and < 110g/L in female patients” ]) or 2.975*X5(anemia[value = 1 for “hemoglobin with <90g/L"]). The area under the curve was 0.957 (95% CI [0.938, 0.976], p < 0.01). Conclusion The incidence of POD in elderly patients with FNF after hip replacement is high. The nomogram incorporating age, surgery type, electrolyte imbalance, and anemia could provide an individualized prediction for POD among FNF patients after hip replacement, which may help the physician determine appropriate perioperative management.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Femoral neck fracture</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Hip replacement</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nomogram</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Postoperative delirium</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Risk factors</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Orthopedic surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jiabao Ju</subfield><subfield code="e">verfasserin</subfield><subfield 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A Nomogram to Predict Delirium after Hip Replacement in Elderly Patients with Femoral Neck Fractures

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