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Objective: This study aimed to explore the correlation between preoperative frailty and the risk of postoperative delirium (POD) in older patients undergoing hip fracture surgery.

Methods: In total, 148 patients with hip fractures who were admitted to Tsinghua Changgung Hospital (Beijing, China) between January 2022 and January 2023 were involved in this study. Preoperative frailty scales were assessed, of which the CAM scale was postoperatively administered every morning and evening on days 1, 2, 3, 5, and 7. Binary logistic regression analysis was conducted to determine the correlation between preoperative frailty and the risk of POD.

Results: Among 148 older patients with hip fractures, 71 (48.0%) were identified as preoperative frail and 77 (52.0%) as non-frail. The overall incidence of POD on day 7 was 24.3% (36/148), and preoperative frailty was associated with a significantly higher risk of POD compared with non-frailty (42.3% vs. 7.8%, P < 0.001). The binary logistic regression analysis revealed that preoperative frailty was noted as an independent risk factor for the risk of POD in older patients undergoing hip fracture surgery (P = 0.002).

Conclusion: Preoperative frailty increased the risk of POD in older patients undergoing hip fracture surgery.

Discussion: Preoperative assessment of frailty in geriatric hip surgery can timely identify potential risks and provide interventions targeting frailty factors to reduce the incidence of POD in older patients undergoing hip fracture surgery. The findings suggested that preoperative frailty could increase the risk of POD in older patients undergoing hip fracture surgery. Further research is necessary to determine whether perioperative interventions aimed at enhancing frailty can mitigate the risk of POD and improve prognosis in older patients undergoing hip fracture surgery.

Titel:	Association of preoperative frailty with the risk of postoperative delirium in older patients undergoing hip fracture surgery: a prospective cohort study.
Autor/in / Beteiligte Person:	Feng, C ; Wu, H ; Qi, Z ; Wei, Y ; Yang, B ; Yin, H ; Yan, S ; Wang, L ; Yu, Y ; Xie, J ; Xing, X ; Tu, S ; Zhang, H
Link:	Full Text Finder (Volltext)
Zeitschrift:	Aging clinical and experimental research, Jg. 36 (2024-01-31), Heft 1, S. 16
Veröffentlichung:	<2013-> : Berlin : Springer ; <i>Original Publication</i>: Milano, Italy : Editrice Kurtis, c2002-, 2024
Medientyp:	academicJournal
ISSN:	1720-8319 (electronic)
DOI:	10.1007/s40520-023-02692-5
Schlagwort:	Humans Aged Prospective Studies China epidemiology Emergence Delirium Frailty complications Hip Fractures surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Aging Clin Exp Res] 2024 Jan 31; Vol. 36 (1), pp. 16. <i>Date of Electronic Publication: </i>2024 Jan 31. MeSH Terms: Emergence Delirium* ; Frailty* / complications ; Hip Fractures* / surgery ; Humans ; Aged ; Prospective Studies ; China / epidemiology Comments: Comment in: Aging Clin Exp Res. 2024 May 13;36(1):110. (PMID: 38739254) References: J Am Coll Surg. 2020 May;230(5):758-765. (PMID: 32088308) ; J Am Geriatr Soc. 2002 Oct;50(10):1644-50. (PMID: 12366617) ; Lancet. 2019 Oct 12;394(10206):1365-1375. (PMID: 31609228) ; Anesth Analg. 2011 May;112(5):1199-201. (PMID: 21372278) ; Osteoporos Int. 2022 Jul;33(7):1477-1484. (PMID: 35178610) ; BMC Musculoskelet Disord. 2019 Nov 27;20(1):568. (PMID: 31775693) ; Lancet. 2013 Mar 2;381(9868):752-62. (PMID: 23395245) ; Cureus. 2020 Aug 28;12(8):e10096. (PMID: 33005517) ; Arch Gerontol Geriatr. 2015 May-Jun;60(3):464-70. (PMID: 25697060) ; Sci Rep. 2019 Dec 13;9(1):19135. (PMID: 31836751) ; Osteoporos Sarcopenia. 2018 Mar;4(1):16-21. (PMID: 30775536) ; J Clin Nurs. 2020 Dec;29(23-24):4708-4719. (PMID: 32981142) ; Osteoporos Int. 1997;7(5):407-13. (PMID: 9425497) ; Injury. 2015 Nov;46(11):2206-11. (PMID: 26298023) ; J Am Geriatr Soc. 2020 Aug;68(8):1771-1777. (PMID: 32274807) ; Osteoporos Int. 1992 Nov;2(6):285-9. (PMID: 1421796) ; Rev Bras Ortop. 2018 Aug 02;53(5):543-551. (PMID: 30245992) ; Eur J Trauma Emerg Surg. 2021 Oct;47(5):1613-1619. (PMID: 32036392) ; Front Public Health. 2022 Jun 30;10:890652. (PMID: 35844855) ; Int J Geriatr Psychiatry. 2015 Sep;30(9):900-10. (PMID: 25503071) ; J Am Geriatr Soc. 2008 May;56(5):823-30. (PMID: 18384586) ; Drugs Aging. 2021 Mar;38(3):233-242. (PMID: 33415708) ; Aging Clin Exp Res. 2022 Mar;34(3):625-631. (PMID: 34417994) ; Orthopedics. 2019 Nov 1;42(6):344-348. (PMID: 31587075) ; J Arthroplasty. 2021 Feb;36(2):449-453. (PMID: 32863073) ; J Am Geriatr Soc. 2018 Oct;66(10):2022-2030. (PMID: 30238970) ; Anesth Analg. 2019 Aug;129(2):507-514. (PMID: 30540612) ; Anesthesiology. 2020 Dec 1;133(6):1184-1191. (PMID: 32898243) ; J Am Geriatr Soc. 2021 Mar;69(3):688-695. (PMID: 33151550) ; J Cardiol. 2020 Aug;76(2):147-153. (PMID: 32156513) ; J Gen Intern Med. 2020 May;35(5):1516-1522. (PMID: 32072368) ; J Gerontol A Biol Sci Med Sci. 2007 Jul;62(7):722-7. (PMID: 17634318) ; J Am Geriatr Soc. 2014 Jul;62(7):1335-40. (PMID: 24890941) ; Am J Crit Care. 2015 Nov;24(6):480-7. (PMID: 26523005) ; Int J Geriatr Psychiatry. 2018 May 31;:. (PMID: 29851194) ; J Am Geriatr Soc. 2010 Apr;58(4):681-7. (PMID: 20345864) ; Anesth Analg. 2021 Aug 1;133(2):314-323. (PMID: 34257192) ; Int J Orthop Trauma Nurs. 2020 May;37:100754. (PMID: 32081683) ; Lancet. 2014 Mar 8;383(9920):911-22. (PMID: 23992774) ; Aging Clin Exp Res. 2022 Jan;34(1):25-37. (PMID: 33834367) ; Clin Interv Aging. 2019 Jun 19;14:1095-1117. (PMID: 31354253) ; Eur J Intern Med. 2016 Jun;31:11-4. (PMID: 26997416) ; Age Ageing. 2012 May;41(3):412-6. (PMID: 22391613) ; BMC Geriatr. 2008 Sep 30;8:24. (PMID: 18826625) ; Eur J Trauma Emerg Surg. 2023 Jun;49(3):1467-1475. (PMID: 36571633) ; Anesth Analg. 2020 Jun;130(6):1450-1460. (PMID: 32384334) ; Ageing Res Rev. 2020 Jul;60:101047. (PMID: 32171786) ; Vasc Med. 2017 Oct;22(5):387-397. (PMID: 28784053) ; Anesth Analg. 2023 Feb 1;136(2):251-261. (PMID: 36638509) Contributed Indexing: Keywords: Elderly; Frailty; Hip fracture surgery; Perioperative neurocognitive disorders; Postoperative delirium Entry Date(s): Date Created: 20240131 Date Completed: 20240201 Latest Revision: 20240515 Update Code: 20240515 PubMed Central ID: PMC10830592

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Association of preoperative frailty with the risk of postoperative delirium in older patients undergoing hip fracture surgery: a prospective cohort study.