Observational studyBMC geriatrics2019
Impact of a delirium prevention project among older hospitalized patients who underwent orthopedic surgery: a retrospective cohort study.
Observational study in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Incidence and associated factors of delirium after orthopedic surgery in elderly patients: a systematic review and meta-analysis.Aging clinical and experimental research · 2021Pooled it
- The effectiveness of nursing interventions for preventing postoperative delirium in older adults undergoing major orthopedic surgery: a systematic review.BMC nursing · 2026Article
- Effects of Intraoperative Prone Versus Supine Positioning on Postoperative Delirium.Geriatrics (Basel, Switzerland) · 2026Article
- Identification of Risk Factors and Development of a Prediction Model for Recovery Room Delirium Following Transurethral Resection of the Prostate.Clinical interventions in aging · 2026Article
- Evaluation of the effects of a team-based systematic prevention and management program for postoperative orthopedic older patients: A retrospective cohort study.PCN reports : psychiatry and clinical neurosciences · 2024Article
- Predicting postoperative delirium after hip arthroplasty for elderly patients using machine learning.Aging clinical and experimental research · 2023Article
- A New Validation of Montreal Cognitive Assessment on a Large Sample of Elderly Patients Undergoing Elective Orthopedic Surgery.Clinical neuropsychiatry · 2023Article
- Clinical Frailty Scale, K-FRAIL questionnaire, and clinical outcomes in an acute hospitalist unit in Korea.The Korean journal of internal medicine · 2021Article
- Near-Infrared Spectroscopy Monitoring in Cardiac and Noncardiac Surgery: Pairwise and Network Meta-Analyses.Journal of clinical medicine · 2019Article
Corrections and comments
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Authors and funding
15 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative delirium (POD) is a common clinical syndrome with significant negative outcomes. Thus, we aimed to evaluate the feasibility and effectiveness of a delirium screening tool and multidisciplinary delirium prevention project.
methodsA retrospective cohort study was conducted at a single teaching center in Korea. A cohort of patients who underwent a delirium prevention program using a simple delirium screening tool from December 2018 to February 2019 (intervention group, N = 275) was compared with the cohort from the year before implementation of the delirium prevention program (December 2017 to February 2018) (control group, N = 274). Patients aged ≥65 years who were admitted to orthopedic wards and underwent surgery were included. The incidence rates of delirium before and after implementation of the delirium prevention program, effectiveness of the delirium screening tool, change in the knowledge score of nurses, and length of hospital stay were assessed.
resultsThe sensitivity and specificity of the screening tool for the incidence of POD were 94.1 and 72.7%, respectively. The incidence rates of POD were 10.2% (control group) and 6.2% (intervention group). The odds ratio for the risk reduction effect of the project related to the incidence of POD was 0.316 (95% confidence interval: 0.125-0.800, p = 0.015) after adjustment for possible confounders. The delirium knowledge test score increased from 40.52 to 43.24 out of 49 total points (p < 0.001). The median length of hospital stay in the intervention and control groups was 6.0 (interquartile range, 4-9) and 7.0 (interquartile range, 4-10) days, respectively (p = 0.062).
conclusionThe screening tool successfully identified patients at a high risk of POD at admission. The POD prevention project was feasible to implement, effective in preventing delirium, and improved knowledge regarding delirium among the medical staff.
trial registrationNone.
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