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Master Thesis

Validation externe de deux scores prédictifs de syndrome confusionnel après prise en charge chirurgicale d'une fracture de l'extrémité supérieure du fémur chez la personne âgée

Abstract : Delirium is a frequent and serious complication after hip fracture surgery in the elderly. However, preventive measures can decrease its incidence after having screened high-risk patients. Two scores predicting delirium in the elderly after hip fracture surgery have been created in 2005 (the Delirium Elderly at Risk instrument) and in 2019 (Kim’s score) based on American and Canadian populations. This study aimed to make an external validation of these two scores in patient who were more than 65 years-old and who went through a hip fracture surgery in the University Hospital Center orthopedic department of Caen (France, Normandie). In this observational unicentric study, clinical, surgical, and biological data where gathered to create the validation population. Discrimination and calibration of these two scores were studied and compared. Eighty-eight patients were included in the study and post-operative delirium occurred in 44% of them. Discrimination and calibration of these two scores were insufficient and did not show significant differences. Our study could not make an external validation of these scores in a French elderly population after hip fracture surgery. It would be interesting to create a score which can be used in this population by every health professional involved in hip fracture surgery management, specially general practitioners.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03173856
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Submitted on : Thursday, March 18, 2021 - 5:12:39 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM
Long-term archiving on: : Monday, June 21, 2021 - 8:44:59 AM

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  • HAL Id : dumas-03173856, version 1

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Mathilde Huet. Validation externe de deux scores prédictifs de syndrome confusionnel après prise en charge chirurgicale d'une fracture de l'extrémité supérieure du fémur chez la personne âgée. Médecine humaine et pathologie. 2020. ⟨dumas-03173856⟩

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