Delir in der Alterstraumatologie

Zusammenfassung

Die Alterstraumatologie gewinnt einen immer höheren Stellenwert in den unfallchirurgischen Abteilungen. Ohne diese Fallgruppen ist eine Abteilung auf Dauer wirtschaftlich nicht überlebensfähig. Entsprechend bedeutsam ist die angemessene Versorgung der älteren Patienten. Neben der hochwertigen unfallchirurgischen Behandlung gewinnt die geriatrische-internistische Behandlung eine größere Bedeutung. Die Prävention und Behandlung häufiger Komplikationen sollte rasch, zielgerichtet und evidenzbasiert erfolgen. Zu den häufigsten alterstraumatologischen Komplikationen gehört das Delir. Hierzu gibt es eine wachsende Anzahl an hochwertigen Publikationen. Delir gilt als teilweise verhinder- und therapierbar. Der Artikel fasst die Datenlage zusammen und gibt praktische Hinweise für den klinischen Alltag.

Abstract

Geriatric traumatology is becoming more and more important in accident surgery departments. Without this group of cases such departments are not economically viable in the long term. An adequate care of the elderly patients is equally important. In addition to the high-value accident surgical management, geriatric medical treatment is also gaining a higher relevance. Prevention and treatment of the more frequent complications in this group should be rapid, targeted and evidence-based. Delirium is one of the most frequent complications among geriatric trauma patients. There is an increasing number of high-quality publications on this topic. Delirium is considered in part to be avoidable and to be curable. The present article summarises the currently available data and provides practical tips for the clinical routine.

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