Key result
This scoping review protocol outlines a methodology to identify and standardize delirium and cognitive screening data items collected by international hip fracture registries.
Why the study?
Substantial variation exists in how national hip fracture registries collect and report delirium and cognition data, which impedes international comparison and may reduce quality of care.
This scoping review protocol outlines a plan to identify and standardize delirium and cognitive screening data collected by international hip fracture registries.
Standardization of delirium metrics across hip fracture registries may improve comparability; leaves open effects on care quality and outcomes.
Background Delirium and cognitive impairment are common in hip fracture populations and are associated with significant adverse patient outcomes. National hip fracture registries facilitate improvements in patient outcomes and care quality, such as reduced mortality and the development of specialist multidisciplinary services. However, there is substantial variation in the data collected and reported in relation to delirium and cognition, which impedes international comparison and may reduce quality of care. Objective This scoping review aims to identify delirium and cognition data items currently collected by hip fracture registries internationally, to identify associated registry guidance that exists for the administration of delirium and cognitive screening tools, and report outcomes of these data items across the most recently published annual reports of identified hip fracture registries. Methods This scoping review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR). We will search the following databases: Medline Ovid; Embase; CINAHL EBSCOHost. Relevant websites such as the Fragility Fracture Network (FFN) will also be searched. Study selection and review will be carried out independently by two researchers, with discrepancies resolved by a third researcher. Data extraction and synthesis will be conducted by one reviewer and checked for accuracy and omissions by another. The scoping review findings will be informed and validated through engagement with the FFN Hip Fracture Audit Special Interest Group. Conclusion By identifying existing heterogeneity in delirium and cognitive screening tool use and administration, it is hoped that administration and specific screening tool use will become standardised to optimise comparability across countries and ensure that high quality and reliable data are included across international registry reports.
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Merriman et al. (2024) conducted a review in Hip fracture. Delirium and cognitive screening data items was evaluated on Delirium and cognition data items collected by hip fracture registries. This scoping review protocol outlines a methodology to identify and standardize delirium and cognitive screening data items collected by international hip fracture registries.
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