Observational studyJournal of orthopaedic surgery and research2025
The incidence and risk factors of perioperative delirium in elderly patients with hip fracture under the Unaccompanied- Care model.
Observational study in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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.
Who cites it
4 citing papers in PubMed.
- Flexible family visitation and postoperative delirium in an orthopedic intensive care unit: A randomized trial examining surgical-type heterogeneity and cost outcomes.The Journal of international medical research · 2026Trial
- Association between the unaccompanied nursing care model and postoperative delirium in older adults with hip fractures: a retrospective before-and-after cohort study.Frontiers in medicine · 2026Article
- Effect of unaccompanied care model in postoperative care for elderly patients with lower limb fractures: factors influencing postoperative heart failure.American journal of translational research · 2026Article
- Development and validation of a nomogram prediction model for perioperative delirium in older patients with osteoporotic fractures based on LASSO regression and multiple parameters.Frontiers in medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveThis study aims to assess the incidence of postoperative delirium in elderly patients with hip fractures under the Unaccompanied- Care model and to explore its risk factors.
methodsThis retrospective observational study prospectively included elderly patients with hip fractures who were admitted to the Trauma Department of our hospital from November 2024 to May 2025, managed under the Unaccompanied-Care nursing model, and underwent surgical treatment. We retrospectively analyzed the patients' baseline data, blood indicators, and surgery-related data for data analysis. Univariate and multivariate logistic regression analyses were used to identify risk factors associated with delirium in the perioperative period.
resultsA total of 138 patients were included, of whom 35 (25.36%) developed delirium. The incidence of delirium was 2.17% (3 cases) preoperatively, 6.52% (9 cases) within 6 h postoperatively, 10.14% (14 cases) within 1 day postoperatively, 4.35% (6 cases) on postoperative day 2, and 2.17% (3 cases) on postoperative day 3. Multivariate analysis showed that mild visual impairment (OR = 15.74, 95% CI: 2.53-97.29, p = 0.003), severe visual impairment (OR = 9.68, 95% CI: 5.20-18.30, p = 0.002); mild hearing impairment (OR = 7.09, 95% CI: 1.23-40.74, p = 0.028), moderate hearing impairment (OR = 6.43, 95% CI: 1.80-51.41, p = 0.031), severe hearing impairment (OR = 16.59, 95% CI: 1.76-156.61, p = 0.014), and hemoglobin (OR = 1.95, 95% CI: 1.91-5.99, p = 0.037) were independent risk factors for delirium.
conclusionAlthough the Unaccompanied-Care model shows specific effects in the nursing of elderly patients with hip fractures, the incidence of delirium remains high. Sensory dysfunction and low hemoglobin levels are important risk factors for delirium.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.