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September 1, 1999Scandinavian Journal of Caring Sciences

Reorganization of Nursing and Medical Care to Reduce the Incidence of Postoperative Delirium and Improve Rehabilitation Outcome in Elderly Patients Treated for Femoral Neck Fractures

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Key result

A comprehensive nursing and medical intervention programme significantly reduced the incidence and duration of postoperative delirium in elderly patients treated for femoral neck fractures.

Why the study?

Does a nursing and medical intervention programme reduce the incidence of postoperative delirium in elderly patients treated for femoral neck fractures?

Population

49 elderly patients consecutively admitted to an orthogeriatric rehabilitation unit treated for femoral neck…

Comparison

Nursing and medical intervention programme vs Historical cohorts of corresponding patients in…

Design

Cohort

Authors

MLMaria LundströmLinköping UniversityAEAgneta EdlundUpper River Valley HospitalGLGudrun LundströmValley Hospital

Discussion

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Implication

Supports comprehensive orthogeriatric programs in elderly hip fracture care; leaves open confirmation by randomized trials.

Study Design

Type

Cohort (n=49)

Multicenter

No

Structured PICO

Does a nursing and medical intervention programme reduce the incidence of postoperative delirium in elderly patients treated for femoral neck fractures?

P
Population
49 elderly patients treated for femoral neck fractures consecutively admitted to an orthogeriatric rehabilitation unit, compared with historical cohorts.
E
Exposure
Nursing and medical intervention programme (staff education, co-operation between orthopaedic surgeons and geriatricians, individual care and planning of rehabilitation, improved ward environment, active nutrition, improved continuity of care, and prevention/treatment of complications)
C
Comparator
Historical cohorts of corresponding patients in the same and other hospitals
O
Outcome
Incidence of postoperative delirium

A comprehensive orthogeriatric intervention program reduces postoperative delirium and improves functional recovery in elderly patients with femoral neck fractures.

Cite This Study

Lundström et al. (1999) conducted a cohort in Femoral neck fractures (n=49). Nursing and medical intervention programme vs. Historical cohorts was evaluated on Incidence of delirium. A comprehensive nursing and medical intervention programme significantly reduced the incidence and duration of postoperative delirium in elderly patients treated for femoral neck fractures.

synapsesocial.com/papers/6a94059dc37eedbd3300dd16https://doi.org/10.1111/j.1471-6712.1999.tb00539.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hip fractures in healthy patients: operative delay versus prognosis.1986 · 118 citations
  2. 2Postoperative Confusion after Anesthesia in Elderly Patients with Femoral Neck Fractures1987 · 263 citations
  3. 3Postoperative Confusion After Anesthesia in Elderly Patients with Femoral Neck Fractures1987 · 279 citations
  4. 4A Geriatric‐Anesthesiologic Program To Reduce Acute Confusional States in Elderly Patients Treated for Femoral Neck Fractures1991 · 271 citations
  5. 5Delirium (Acute Confusional States)1987 · 402 citations