Observational studyBMC geriatrics2025
Geriatric cognitive frailty and short-term prognosis following hip fracture surgery.
Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Impact of cognitive impairment on postoperative delirium and discharge disposition following knee arthroplasty: a Japanese nationwide propensity score-matched study.Archives of orthopaedic and trauma surgery · 2026Article
- Aspartate Aminotransferase-to-Platelet Ratio Index (APRI) as a Predictor of Mortality in Patients with Femoral Fracture: A Retrospective Cohort Analysis.Therapeutics and clinical risk management · 2026Article
- Integrating epidemiological and bioinformatics analyses identified the effects of organophosphate pesticides accelerating biological aging.International journal of surgery (London, England) · 2025Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo evaluate the prevalence of cognitive frailty in geriatric patients with hip fractures and to assess its association with short-term postoperative complications following surgical intervention.
methodsThis single-centre observational study enrolled geriatric patients (aged ≥ 65 years) undergoing surgical intervention for hip fracture. Patients were stratified into cognitive frailty and non-cognitive frailty groups based on assessments using the FRAIL scale and the Montreal Cognitive Assessment (MoCA). Clinical outcomes, including duration of hospitalisation and postoperative complications (e.g., cardiovascular, pulmonary, cerebrovascular, gastrointestinal events, and delirium), were compared between the cohorts. Multivariable logistic regression analysis was employed to identify independent risk factors for postoperative complications.
resultsA total of 159 patients (mean age: 81.35 ± 8.44 years) were enrolled, of whom 28.3% were classified as having cognitive frailty. Compared to the non-frail group, the cognitive frailty group exhibited a significantly longer hospital stay (15.6 ± 3.3 days vs. 13.9 ± 2.7 days, P < 0.05) and a higher incidence of postoperative complications (24.4% vs. 8.8%, P = 0.011). Multivariate analysis identified cognitive frailty (OR = 2.73, 95% CI: 1.03-7.25) and the Charlson Comorbidity Index (CCI) (OR = 1.31, 95% CI: 1.01-1.70) as independent risk factors for postoperative complications.
conclusionCognitive frailty is highly prevalent among elderly patients with hip fractures and represents an independent predictor of short-term postoperative complications. Early identification of cognitive frailty could enhance risk stratification and perioperative management for this vulnerable population.
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