What is the clinical evidence from this study?

Study design: Cohort. Population: Femoral neck fractures (n=61). Intervention: Delirium vs. No delirium. Primary outcome: Rehabilitation outcome (hospitalization length, ADL dependence, psychological well-being, medical complications).

What question did this study set out to answer?

To identify risk factors for delirium and determine its impact on short- and long-term rehabilitation outcomes following surgical treatment for femoral neck fractures.

May 9, 2005Scandinavian Journal of Caring Sciences

Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures

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Key result

Delirium, occurring in 62% of patients, was associated with longer hospitalization, increased ADL dependence, and poorer rehabilitation outcomes at 4 months after femoral neck fracture surgery.

Why the study?

Does delirium worsen rehabilitation outcomes in elderly patients treated for femoral neck fractures?

Population

61 patients, aged 70 years or older, consecutively admitted to the Department of Orthopaedic Surgery at Umeå…

Comparison

Delirium (exposure) vs No delirium

Design

Cohort

Follow-up

4 months after surgery

Authors

BOBirgitta OlofssonWellSpan Health MLMaria LundströmLinköping University BBBengt BorssénUmeå University

Discussion

Member takes

Implication

May warrant delirium vigilance in elderly hip fracture patients; leaves open whether prevention improves rehabilitation outcomes.

Key Points

To identify risk factors for delirium and determine its impact on short- and long-term rehabilitation outcomes following surgical treatment for femoral neck fractures.
Prospective cohort study of 61 consecutive patients aged 70 years or older admitted to Umeå University Hospital in Sweden for femoral neck fractures.
Patients underwent clinical assessments and interviews during hospitalization and at a 4-month postoperative follow-up.
Delirium developed in 62% of patients (38/61), with higher incidence among those presenting with pre-existing dementia or depression.
Patients experiencing delirium had longer hospital stays, more medical complications, worse psychological well-being, and greater dependence in activities of daily living at discharge and at 4 months.
A large proportion of patients with delirium failed to regain prefracture walking ability and could not return to their prefracture living arrangements.

Study Design

Type

Cohort (n=61)

Multicenter

Structured PICO

Does delirium worsen rehabilitation outcomes in elderly patients treated for femoral neck fractures?

Population

61 patients aged 70 years or older operated for femoral neck fractures, followed for 4 months after surgery.

Exposure

Delirium (exposure)

Comparator

No delirium

Outcome

Rehabilitation outcome (including length of hospitalization, ADL dependence, psychological well-being, medical complications, walking ability, and living accommodation)

Delirium is highly prevalent in elderly patients following hip fracture surgery and significantly impairs both short- and long-term rehabilitation outcomes.

Cite This Study

Olofsson et al. (2005) conducted a cohort in Femoral neck fractures (n=61). Delirium vs. No delirium was evaluated on Rehabilitation outcome (hospitalization length, ADL dependence, psychological well-being, medical complications). Delirium, occurring in 62% of patients, was associated with longer hospitalization, increased ADL dependence, and poorer rehabilitation outcomes at 4 months after femoral neck fracture surgery.

synapsesocial.com/papers/6a86c730f87adc0a02ca0d22 https://doi.org/10.1111/j.1471-6712.2005.00324.x

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Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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