{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:44:54Z","timestamp":1760132694038,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T00:00:00Z","timestamp":1650931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aging Medicine"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study is to find the incidence, risks, and reasons for prolonged length of hospital stay, short, long\u2010term mortality, and the factors contributing to mortality of postoperative delirium in proximal femoral fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data for the study was obtained from National Hip Fracture Database (NHFD) and internal hospital computer systems (Medway, ICE, Clinic letters) between January 2018 and December 2019. One hundred seventy\u2010five patients were found have developed postoperative delirium. The outcomes measured were postoperative anemia, lower respiratory tract infection, urinary tract infection, acute kidney injury, urinary retention, cardiac event and stroke, alcohol or drug withdrawal, length of hospital stay, and 30\u00a0day and 1\u2009year mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients who developed delirium were 68 (38.9%) with American Society of Anesthesiologists (ASA) grade 4 and 94 (22.3%) without delirium (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The average length of stay after developing postoperative delirium was 19.69\u2009days compared to 17.4\u2009days for patients without delirium. The mortality at 30\u2009days and 1\u2009year was 10.9% and 37% in patients who had postoperative delirium compared to 2.1% and 2.8% to those without delirium, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Postoperative delirium is three times more common in hip fractures. Early detection and timely management are crucial in the improvement of functional outcomes and mortality.<\/jats:p><\/jats:sec>","DOI":"10.1002\/agm2.12206","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T11:36:47Z","timestamp":1650973007000},"page":"94-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The crucial factors influencing the development and outcomes of postoperative delirium in proximal femur fractures"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8103-1463","authenticated-orcid":false,"given":"Aysha","family":"Rajeev","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics Gateshead Health Foundation NHS Trust  Tyne and Wear UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Railton","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics Gateshead Health Foundation NHS Trust  Tyne and Wear UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kailash","family":"Devalia","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics Gateshead Health Foundation NHS Trust  Tyne and Wear UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000017160"},{"key":"e_1_2_9_3_1","first-page":"136","volume-title":"American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104161020600425X"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440080075027"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1998.00073.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S115945"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/aws190"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-199811000-00005"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14846"},{"key":"e_1_2_9_11_1","unstructured":"Delirium: prevention diagnosis and management. Clinical guidelines [CG103].2010 updated 2019. Accessed November 19th 2021.http:\/\/www.nice.org\/guidance\/cg103"},{"key":"e_1_2_9_12_1","unstructured":"21\u201322 Annex DtC \u2010 Guidance on BPTs. Accessed November 19th 2021.https:\/\/www.england.nhs.uk"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14840"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/29.6.537"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-198706000-00003"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(94)90011-6"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60688-1"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000128649.59959"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B12.BJJ-2019-1537.R3"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-016-0541-6"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004386"},{"key":"e_1_2_9_22_1","unstructured":"Royal College of Physicians.National Hip Fracture Database (NHFD) annual report September 2018.2018. Accessed December 21 2021.http:\/\/www.nhfd.co.uk\/files\/2018Reportfiles\/NHFD\u20102018\u2010annualreportv101.pdf"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00704"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029245"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-2010-101086"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020757"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200101)16:1<7::AID-GPS261>3.0.CO;2-W"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb04718.x"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03725.x"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2018018"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200206000-00050"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1159\/000017163"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.04.008"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0229325"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.17.90"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333721417739188"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00724"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/2151459318814823"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001660"}],"container-title":["AGING MEDICINE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/agm2.12206","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/agm2.12206","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/agm2.12206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T10:18:42Z","timestamp":1692699522000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/agm2.12206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,26]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1002\/agm2.12206"],"URL":"https:\/\/doi.org\/10.1002\/agm2.12206","archive":["Portico"],"relation":{},"ISSN":["2475-0360","2475-0360"],"issn-type":[{"type":"print","value":"2475-0360"},{"type":"electronic","value":"2475-0360"}],"subject":[],"published":{"date-parts":[[2022,4,26]]},"assertion":[{"value":"2022-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}