Observational studyOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2021
Orthogeriatric co-management reduces incidence of delirium in hip fracture patients.
Observational study in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Geriatric care in hip fracture recovery: does it truly make a difference? A meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Predisposing and Precipitating Factors Associated With Delirium: A Systematic Review.JAMA network open · 2023Pooled it
- A randomized pilot and feasibility trial of live and recorded music interventions for management of delirium symptoms in acute geriatric patients.BMC geriatrics · 2025Trial
- Prevalence and Outcome of Delirium in Proximal Femur Fracture Patients Undergoing Orthogeriatric Treatment.Journal of clinical medicine · 2026Article
- The impact of pre- versus postoperative geriatric consultation in elderly patients with hip fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- CSF neurofilament light chain concentration in patients with delirium following hip fracture: a multicenter prospective study.BMC geriatrics · 2026Observational
- The Role of Internal Medicine or Hospitalist Co-Management in Surgical Specialties: Implications for Adult and Elderly Plastic Surgery Patients.Medicina (Kaunas, Lithuania) · 2026Article
- Increased cerebrospinal fluid YKL-40 concentration in hip fracture patients with delirium.Brain communications · 2026Article
- Effects of Dementia on Adverse Outcomes in Geriatric Patients Undergoing Elective Total Hip Arthroplasty: Analysis of the US Nationwide Inpatient Sample.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Frailty and prolonged preoperative waiting time as independent predictors of postoperative delirium in older hip fracture patients.Scientific reports · 2025Article
- [Osteosynthesis of subtrochanteric femoral fractures in adults].Chirurgie (Heidelberg, Germany) · 2025Article
- Perioperative blood loss is a risk factor for postoperative delirium in geriatric hip fracture patients: a retrospective study.Frontiers in medicine · 2025Review
- [Cooperation of geriatrics and trauma surgery in certified geriatric trauma centers : Insights into different care models and the implementation of requirements resulting from certification].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Potential mechanism of Taohong Siwu Decoction in preventing and treating postoperative delirium in intertrochanteric fracture patients based on retrospective analysis and network pharmacology.Journal of orthopaedic surgery and research · 2024Article
- Impaired glucose utilization in the brain of patients with delirium following hip fracture.Brain : a journal of neurology · 2024Article
- Sarcopenia is a risk factor for postoperative delirium in geriatric hip fracture patients: a retrospective study.Frontiers in medicine · 2024Article
- A standardized clinical pathway for hip fracture patients is associated with reduced mortality: data from the Norwegian Hip Fracture Register.European geriatric medicine · 2023Article
- Cerebrospinal fluid quinolinic acid is strongly associated with delirium and mortality in hip-fracture patients.The Journal of clinical investigation · 2023Observational
- Postoperative delirium in geriatric patients with hip fractures.Frontiers in aging neuroscience · 2022Review
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6 authors.
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Abstract
Hip fracture patients often display an acute confusional state (delirium) which is associated with worse outcomes. In this observational study, we found that co-management of hip fracture patients by a multidisciplinary team including a geriatrician and an orthopaedic surgeon could reduce the incidence of delirium.
introductionDelirium after hip fracture is common and is associated with negative outcomes. We investigated if orthogeriatric co-management reduced the incidence of delirium in hip fracture patients.
methodsIn this single-centre, prospective observational study, we compared the incidence of delirium and subsyndromal delirium (SSD) before (usual care group, n = 94) and after (orthogeriatric group, n = 103) the introduction of orthogeriatric co-management as an integrated care model. The outcome measure 'no delirium/SSD/delirium' was treated as an ordinal variable and analysed using the chi-squared test and multivariable ordinal logistic regression.
resultsThe groups had similar baseline characteristics except for a higher proportion of patients with pre-existing cognitive impairment in the usual care group (51% vs. 37%, p = 0.045). Fewer patients in the orthogeriatric group developed SSD or delirium (no delirium: 59% vs. 40%/SSD: 6% vs. 13%/delirium: 35% vs. 47%; p = 0.021). The number needed to treat (NNT) to avoid one case of SSD or delirium was 5.3 (95% CI: 3.1 to 19.7). In a multivariable analysis adjusted for age, sex, ASA class, pre-existing cognitive impairment, time to surgery, type of surgery, and medical or surgical complications, the odds ratio for the development of SSD/delirium was lower in the orthogeriatric group (OR = 0.46, 95% CI: 0.23-0.89, p = 0.023).
conclusionOrthogeriatric co-management as an integrated care model reduced the incidence of SSD/delirium in hip fracture patients.
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