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Association of pre- and postoperative delirium with functional status at discharge after hip fracture: findings from the Gruppo Italiano di Ortogeriatria (GIOG 2.0) study - PubMed

4 hours ago
  • #Hip Fracture
  • #Functional Status
  • #Delirium
  • The study examines the association between delirium occurring at different perioperative phases and functional status at discharge in older patients undergoing hip fracture surgery.
  • Delirium was assessed using the 4AT tool from the day before surgery through postoperative day three in patients aged 65 years and older.
  • Of the 1492 patients included, 29.8% experienced delirium, with 2.3% preoperative, 12.2% postoperative, and 15.3% both preoperative and postoperative delirium.
  • Patients with both preoperative and postoperative delirium had significantly higher odds of poor functional status at discharge (Odds Ratio: 1.57).
  • Systematic assessment of delirium in both preoperative and postoperative phases may help identify patients at higher risk of poor functional outcomes.