Delirium
Conditions
Keywords
acetylcholinesterase inhibitors, rivastigmine patch, post-operational delirium
Brief summary
Delirium is a common and serious condition and is associated with adverse outcome. The elderly who have cognitive dysfunction are expected to show delirium more frequently. It is most likely that delirium represents a response to impaired cholinergic neurotransmission. Investigators aimed to establish the preventive effect of the cholinesterase inhibitor, rivastigmine patch, on the post-operative delirium limited to femur neck fracture operation in patients at risk of dementia.
Detailed description
Investigators evaluated the delirium prevention effect of rivastigmine patch in patients with femur neck fracture and cognitive impairment. Investigators measured the frequency and severity of post-operation delirium in the patch applied and non-applied subjects.
Interventions
acetylcholine esterase inhibitor
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutively enrolled the patients who is going to operation after femur neck fracture. * Patients agree to the informed consent.
Exclusion criteria
* depressive mood and their geriatric depression scale is over 6 / 15. * Their Korean version MMSE(minimental status examination) are over 25, or global dementia scale (GDS) are under 3 or over 5. * any delirious state at pre-operation period by DSM IV and CAM (Confusion Assessment Method)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the number of participants with delirium | up to 7th days | investigators evaluated the delirium frequency in rivastigmine applied participants comparing with non-applied participants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| delirium severity using delirium rating scale | up to 7th days | to compare the severity of delirium in rivastigmine patch applied participants with non-applied |