ArticleBMC geriatrics2025
Reduced perioperative sensory impairment could lower postoperative delirium incidence: a before-and-after study in older patients with hip fracture.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Perioperative care in older adults: a narrative review.European geriatric medicine · 2026Review
- The effectiveness of nursing interventions for preventing postoperative delirium in older adults undergoing major orthopedic surgery: a systematic review.BMC nursing · 2026Article
- Sensory processing impairments and their associations with physical and psychological outcomes in older adults after fall-related hip fracture surgery: a prospective cross-sectional study.BMC geriatrics · 2026Observational
- Frailty assessment in perioperative geriatric patients: a narrative review.Anesthesia and pain medicine · 2026Review
- Prehospital pain management in older adults with proximal Femur fractures: current practices and implications for delirium prevention.SAGE open medicine · 2026Article
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8 authors.
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Abstract
backgroundPostoperative delirium (POD) is a common complication in older patients. Multicomponent prevention reduces POD but requires substantial resources. The effect of single interventions derived from multicomponent programs remains elusive, but it is essential to assess their effect to identify which components are meaningful. This study investigates whether a single intervention from a multicomponent program may reduce the incidence of POD.
methodsThis prospective, single-center before-and-after study evaluated older surgery patients at a university hospital's geriatric trauma center between July 2020 and November 2021. Inclusion criteria were age ≥ 70 years and a proximal femoral fracture. A control cohort (CC) left their dentures, vision, and hearing aids on the ward throughout surgery, while an intervention cohort (IC) used them until anesthesia induction and received them back when they regained consciousness. Therefore, IC obtained a transport case for hygienic storage and perioperative device management. The time of sensory aid removal was measured to ensure proper implementation. Outcomes were the incidence of POD (assessed via the 3-min Diagnostic Confusion Assessment Method at admission and twice daily for three days postoperatively), patient satisfaction, and recovery (evaluated via Quality of Recovery-9), length of hospital stay, postoperative monitoring time, Barthel-index, and 30-day mortality.
results248 patients were screened for eligibility. Following a dropout rate of n = 166, the cohorts were: CC n = 40 and IC n = 42. Both cohorts had similar baseline and treatment characteristics. The intervention significantly reduced the median time of sensory aid removal (CC 12h 14min, IC 12min, p < 0.001), and the incidence of POD overall (CC 65.0%, IC 40.5%, p = 0.026). The length of hospital stay and long-term recovery outcomes remained insignificant. However, postoperative monitoring time correlated with time of sensory aid removal (r
conclusionReduced perioperative sensory impairment may reduce the incidence of POD, decrease postoperative monitoring time, and be associated with a better postoperative recovery. Therefore, multimodal preventative efforts should include reducing sensory aid removal.
trial registrationGerman Clinical Trial Register (DRKS-ID DRKS00022085); 07/07/2020.
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