Evidence map›Paper›PMID 42658290›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

The impact of pre- versus postoperative geriatric consultation in elderly patients with hip fractures.

Fatmanur B Aydin, Duco W P M Laane, Annemarie van Rossum du Chattel, Marco T DiStefano, Alexander H King, Thirushan Wignakumar, Arinzechukwu Nwagbata, Detlef van der Velde, Johannes J M van Delden, Michael J Weaver

Abstract readComparative Study
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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Fatmanur B AydinDivision of Orthopaedic Trauma, Department of Orthopaedics, Brigham and Women's Hospital, Boston, MA, USA. f.aydin@antoniusziekenhuis.nl.ORCID https://orcid.org/0009-0006-9167-209X
Duco W P M LaaneDivision of Orthopaedic Trauma, Department of Orthopaedics, Brigham and Women's Hospital, Boston, MA, USA.
Annemarie van Rossum du ChattelDivision of Orthopaedic Trauma, Department of Orthopaedics, Brigham and Women's Hospital, Boston, MA, USA.
Marco T DiStefanoDivision of Orthopaedic Trauma, Department of Orthopaedics, Massachusetts General Hospital, Boston, MA, USA.
Alexander H KingHarvard Medical School, Boston, MA, USA.
Thirushan WignakumarDivision of Orthopaedic Trauma, Department of Orthopaedics, Brigham and Women's Hospital, Boston, MA, USA.
Arinzechukwu NwagbataHarvard Medical School, Boston, MA, USA.
Detlef van der VeldeDepartment of Surgery, St. Antonius Ziekenhuis, Utrecht, The Netherlands.
Johannes J M van DeldenDepartment of Bioethics and Health Humanities, University Medical Center Utrecht, Utrecht, The Netherlands.
Michael J WeaverDivision of Orthopaedic Trauma, Department of Orthopaedics, Brigham and Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine whether preoperative geriatric consultation was independently associated with lower incidence of delirium for elderly patients with hip fractures compared with postoperative geriatric consultation.

methodsThis retrospective cohort study was conducted at two urban Level 1 trauma centers in the United States. Patients aged ≥ 70 years with isolated proximal femur fractures treated surgically between 2018 and 2024 were included. Patients with pathological or periprosthetic fractures, non-orthopedic admissions, and those without geriatric consultation were excluded. Patients were categorized based on timing of initial geriatric consultation: preoperative versus postoperative. Delirium was selected as the primary outcome because geriatric consultation most directly addresses modifiable delirium risk factors. Secondary outcomes included the incidence of one or more in-hospital complications, length of stay, 30-day all-cause readmissions, and mortality. Multivariable logistic and linear regression analyses were used to determine the independent association between timing of initial geriatric consultation and primary and secondary outcomes.

resultsOf 1776 patients included, 1382 (78%) received initial geriatric consultation preoperatively and 394 (22%) postoperatively. Median age was 84 years (IQR 78-90), 70% were female, 73% ASA III, and 87% lived at home pre-admission. Delirium occurred in 19.7% in the preoperative vs. 19.5% in the postoperative groups. After adjustment, consultation timing was not independently associated with delirium (aOR = 1.09, 95%-CI = 0.81-1.47, p=.567).

conclusionsPreoperative versus postoperative initial geriatric consultation was not independently associated with delirium incidence and produced comparable short-term clinical outcomes. LEVEL OF EVIDENCE: Prognostic Level III.

Indexed as

DeliriumGeriatric AssessmentHip FracturesPostoperative ComplicationsPreoperative CareReferral and ConsultationAgedAged, 80 and overFemaleHumansIncidenceLength of StayMaleProximal Femoral FracturesRetrospective StudiesRisk FactorsFragility fracturesGeriatric traumaHip fracturesOrthogeriatric care

Identifiers

PMID42658290

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