Table 1. Characteristics of hip fracture patients with and without postoperative delirium.
Postoperative delirium | No postoperative delirium | p-value | |
---|---|---|---|
N = 12 | N = 47 | ||
Mean age in years (SD) | 86.4 (8.0) | 83.4 (7.7) | 0.24 |
Sex male | 2 (16.7) | 16 (34.0) | 0.31 |
Living at home | 8 (66.7) | 35 (74.5) | 0.69 |
Social status | 0.30 | ||
Living alone | 9 (75.0) | 22 (46.8) | |
Living together with partner/child | 2 (16.7) | 13 (27.7) | |
missing | 1 (8.3) | 12 (25.5) | |
Median preadmission KATZ-ADL-6 score (q1-q3) | 4 (0–5) | 1.5 (0–4) | 0.30 |
missing | 0 (0.0) | 7 (14.9) | |
Median Charlson Comorbidity Index (q1—q3) | 2 (1–3) | 2 (1–4) | 0.97 |
Premorbid cognitive impairment | 3 (25.0) | 11 (23.4) | 1.00 |
Type of fracture | 0.62 | ||
intertrochanteric | 6 (50.0) | 27 (57.4) | |
femoral neck | 6 (50.0) | 16 (34.0) | |
other | 0 (0.0) | 4 (8.5) | |
Type of surgery | 0.44 | ||
internal fixation | 8 (66.7) | 38 (80.9) | |
hip replacement | 4 (33.3) | 9 (19.1) | |
Median time to surgery in days (q1-q3) | 1 (0.3–1) | 1 (0–1) | 0.61 |
Time of obtaining CSF | 0.82 | ||
24:00–06:00 | 0 (0.0) | 0 (0.0) | |
06:00–12:00 | 2 (16.7) | 10 (21.3) | |
12:00–18:00 | 7 (58.3) | 27 (57.4) | |
18:00–24:00 | 3 (25.0) | 8 (17.0) | |
missing | 0 (0.0) | 2 (4.3) | |
Season of obtaining CSF | 0.56 | ||
spring | 4 (33.3) | 13 (27.7) | |
summer | 2 (16.7) | 14 (29.8) | |
autumn | 5 (41.7) | 12 (25.5) | |
winter | 1 (8.3) | 8 (17.0) | |
Overall mean CSF melatonin level in pg/ml (SD) | 12.88 (6.3) | 11.72 (4.5) | 0.47 |
Mean CSF melatonin level stratified for time of the day of sampling in pg/ml (SD) | |||
06:00–12:00 | 9.30 (1.0) | 9.05 (4.1) | 0.94 |
12:00–18:00 | 11.71 (3.5) | 12.97 (4.0) | 0.45 |
18:00–24:00 | 18.00 (11.1) | 10.13 (5.1) | 0.13 |
q1-q3 = first quartile—third quartile, CSF = Cerebrospinal Fluid, SD = Standard Deviation, ADL = Activities of Daily Living