{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:08:57Z","timestamp":1792782537429,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T00:00:00Z","timestamp":1507852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T00:00:00Z","timestamp":1507852800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"name":"\"Victor Babes\" University of Medicine and Pharmacy of Timisoara, Romania","award":["I-C3-GD-2014"],"award-info":[{"award-number":["I-C3-GD-2014"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Currently applied cognitive tests for assessing the risk of post\u2010operative delirium require time and specialised medical staff, in addition to the patients\u2019 mental strain. We investigated the four\u2010point scoring Clock\u2010Drawing Test (CDT\u20104) as a preoperative independent predictor for post\u2010operative delirium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 100 consecutive patients aged over 65 years admitted for accidental hip fracture were assessed for delirium using the Confusion Assessment Method Scale. The cognitive function was rated with mini\u2013mental state examination, Montreal Cognitive Assessment Scale (MoCA), and CDT\u20104. Descriptive statistics were performed, and a logistic regression model for post\u2010operative delirium was applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of the 100 enrolled patients 98 underwent hip repair surgery and 65 (66%) had post\u2010operative delirium, with 24 (42%) incident cases. The median (IQR) ages were 78 (72\u201383) and 84 (80\u201387) years for the non\u2010delirium and post\u2010operative delirium groups, respectively. The logistic regression concluded with age and CDT\u20104 as independent preoperative predictors, while controlling for gender, pre\u2010surgery delirium, MoCA visual, and MoCA attention: OR 1.32 [95% CI (1.099\u20131.585);\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003] for age; OR 0.153 [95% CI (0.033\u20130.719);\n                      <jats:italic>p<\/jats:italic>\n                      = 0.017] for CDT\u20104.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Employing CDT\u20104 as a bedside assessment of delirium risk may help to preoperatively stratify and prioritise the patients for preventive perioperative care in a timely manner.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-017-4294-y","type":"journal-article","created":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T10:55:36Z","timestamp":1507892136000},"page":"1340-1345","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Clock\u2010Drawing Test as a Bedside Assessment of Post\u2010operative Delirium Risk in Elderly Patients with Accidental Hip Fracture"],"prefix":"10.1002","volume":"42","author":[{"given":"Claudia C.","family":"Vasilian","sequence":"first","affiliation":[{"name":"\u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara Romania"},{"name":"\u201cPius Branzeu\u201d Emergency County Hospital Timisoara Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona C.","family":"Tamasan","sequence":"additional","affiliation":[{"name":"\u201cPius Branzeu\u201d Emergency County Hospital Timisoara Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Lungeanu","sequence":"additional","affiliation":[{"name":"Department of Functional Sciences, Centre for Modelling Biological Systems and Data Analysis \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan V.","family":"Poenaru","sequence":"additional","affiliation":[{"name":"\u201cPius Branzeu\u201d Emergency County Hospital Timisoara Romania"},{"name":"Department of Orthopaedics and Traumatology \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,13]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association(2013)Diagnostic and statistical manual of mental disorders 5th edn (DSM\u20105). doi:10.1176\/appi.books.9780890425596.744053. 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