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November 1, 2002Journal of Gerontological Nursing

DOCUMENTATION OF Delirium in Elderly Patients with Hip Fracture

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Population

55 elderly patients with hip fracture, mean age 78.4 (SD 8.4)

Design

Cohort, Clinicians were blinded to the purpose of the study

Follow-up

12 days postoperatively

Authors

KMKoen MilisenKU LeuvenMFMarquis D. ForemanUniversity of IowaBWBert Wouters

Discussion

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Implication

Delirium underdiagnosis persists in hip fracture care; leaves open whether enhanced screening improves recognition and outcomes.

Structured PICO

P
Population
55 elderly patients with hip fracture, mean age 78.4 (SD 8.4)
I
Intervention
Retrospective review of medical and nursing records for delirium documentation compared to prospective monitoring using the Confusion Assessment Method (CAM)
O
Outcome
Accuracy of diagnosis and documentation of delirium in medical and nursing records

Delirium is significantly under-diagnosed and poorly documented in both medical and nursing records of elderly patients with hip fracture.

Cite This Study

Milisen et al. (2002) studied this question.

synapsesocial.com/papers/6a818f6cb35cb7638cee1c66https://doi.org/10.3928/0098-9134-20021101-07
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postoperative variation in neurocognitive and functional status in elderly hip fracture patients1998 · 61 citations
  2. 2Acute Confusional States in Elderly Patients Treated for Femoral Neck Fracture1988 · 479 citations