Evidence map›Paper›PMID 39316273›Full record

ArticleEuropean geriatric medicine2024

The role of C-reactive protein as a risk marker of postoperative delirium in older hip fracture patients: a prospective cohort study.

Lucía Lozano-Vicario, Ángel Javier Muñoz-Vázquez, Bernardo Abel Cedeno-Veloz, Román Romero-Ortuno, Arkaitz Galbete, Joaquín Fernández-Irigoyen, Enrique Santamaría, Fabricio Zambom-Ferraresi, José Ramón Ortiz-Gómez, Ángel Manuel Hidalgo-Ovejero and 1 more

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In one paragraph

Article in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. C-reactive protein -albumin-lymphocyte (CALLY) index as a predictor of early mortality in elderly patients with hip fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lucía Lozano-VicarioDepartment of Geriatric Medicine, Hospital Universitario de Navarra (HUN), Irunlarrea Street 3, 31008, Pamplona, Spain. lucia.lozanovicario@gmail.com.ORCID 0000-0003-2326-6891
Ángel Javier Muñoz-VázquezDepartment of Orthopaedic Surgery and Traumatology, Clínica Universidad de Navarra, Pamplona, Spain.
Bernardo Abel Cedeno-VelozDepartment of Geriatric Medicine, Hospital Universitario de Navarra (HUN), Irunlarrea Street 3, 31008, Pamplona, Spain.
Román Romero-OrtunoDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland.
Arkaitz GalbeteNavarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.
Joaquín Fernández-IrigoyenProteomics Unit, Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), Instituto de Investigación Sanitaria de Navarra (IDISNA), Pamplona, Spain.
Enrique SantamaríaProteomics Unit, Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), Instituto de Investigación Sanitaria de Navarra (IDISNA), Pamplona, Spain.
Fabricio Zambom-FerraresiNavarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.
José Ramón Ortiz-GómezDepartment of Anesthesiology and Reanimation, Hospital Universitario de Navarra (HUN), Pamplona, Spain.
Ángel Manuel Hidalgo-OvejeroDepartment of Orthopaedic Surgery and Traumatology, Hospital Universitario de Navarra (HUN), Pamplona, Spain.
Nicolás Martínez-VelillaDepartment of Geriatric Medicine, Hospital Universitario de Navarra (HUN), Irunlarrea Street 3, 31008, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostoperative delirium (POD) is a common and serious neuropsychiatric syndrome that leads to higher morbidity and mortality. We investigated the association between serum C-reactive protein (CRP) and the occurrence of POD in older hip fracture patients, and whether CRP predicted POD better than a clinical model.

methodsPatients aged ≥ 75 years admitted for surgical repair of an acute hip fracture were recruited. We compared serum CRP levels between patients with and without POD.

resultsSixty patients were included, of whom 21 (35%) developed POD. Serum CRP levels were significantly higher in patients who developed delirium (p = 0.011). In a multiple regression model including clinical variables and CRP, cognitive impairment (p = 0.003) and infection (p = 0.001) were the best predictors of POD.

conclusionsAlthough higher levels of serum CRP were significantly associated with POD in older hip fracture patients, pre-existing cognitive impairment and infections were the most important risk factors for POD.

Indexed as

BiomarkersC-Reactive ProteinDeliriumHip FracturesPostoperative ComplicationsAgedAged, 80 and overCognitive DysfunctionFemaleHumansMaleProspective StudiesRisk FactorsBiomarkersC-Reactive ProteinCognitive impairmentC-reactive proteinDeliriumHip fractureRisk marker

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.