Evidence map›Paper›PMID 40621090›Full record

ArticleClinical interventions in aging2025

Preoperative Prognostic Nutritional Index Is a Predictive Factor for Postoperative Delirium in Elderly Patients with Femoral Neck Fracture.

Yuansheng Xu, Yongjun Luo

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

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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

2 authors.

Yuansheng XuDepartment of Orthopedics, The Affiliated Jinling Hospital of Nanjing University, Nanjing, Jiangsu, People's Republic of China.
Yongjun LuoDepartment of Orthopedics, The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215123, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to investigate the potential risk factors of postoperative delirium (POD) in elderly patients (≥65 years old) undergoing femoral neck fracture (FNF) surgery, and explore whether preoperative prognostic nutritional index (PNI) could predict the occurrence of POD. Methods: A total of 260 cases with FNF were included in this study at The Affiliated Jinling Hospital of Nanjing University from May 2018 and May 2024. The baseline characteristics were recorded. The receiver operating characteristic (ROC) curve analysis was developed to evaluate the diagnostic ability of preoperative PNI for POD. LASSO regression and multivariate logistic regression analyses were used to identify the risk factors for POD. Results: Eighty-one of the 260 cases with FNF suffered POD with an incidence of 31.2%. Patients with POD showed lower Mini-Mental State Examination (MMSE) score ( Conclusion: In conclusion, preoperative PNI is a significant predictor for POD in elderly patients after FNF surgery.

Indexed as

DeliriumFemoral Neck FracturesNutrition AssessmentPostoperative ComplicationsAgedAged, 80 and overChinaFemaleGeriatric AssessmentHumansLogistic ModelsMaleNutritional StatusPreoperative PeriodPrognosisRisk Factorsfemoral neck fracturepostoperative deliriumpredictorprognostic nutritional index

Identifiers

PMID40621090
PMCPMC12229154

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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.