Dr. Ting-Kwan YIM
Deputising Consultant, Department of Medicine and Geriatrics, United Christian Hospital, Hong Kong
Dr. Yim has actively participated in the ortho-geriatric service as geriatrician in charge of the United Christian Hospital for more than 15 years. The Ortho-geriatric service of United Christian Hospital covers the spectrum from acute care, rehabilitation service, bone health services as well as Fall prevention services for the geriatric patients. He actively participates in the clinical, academic and the managerial activities of this specialty program.
Delirium is common among hospitalized and peri-operative geriatric patients. It is an acute confusional state of patients, and is usually associated with underlying medical conditions. Old age, pre-existing cognitive impairment, severe medical illnesses and hip fracture are known risk factors of development of delirium. Delirium is the most preventable adverse event among older patients during hospitalization. On the other hand, once delirium is developed, it is associated with poor clinical outcomes. Actually management of delirium is integrally linked to the process of care, and it can be an indicator of the quality that the medical and geriatric health care is delivered.
The presentation adopts a pragmatic approach to discuss this clinical problem, and use the peri-operative management of geriatric hip fracture patients as illustration.