{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T02:33:48Z","timestamp":1778553228269,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine associations between delirium and health outcomes using the Australia and New Zealand population\u2010based hip fracture patient registry (ANZHFR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective cohort study using data from the ANZHFR among hip\u2010fracture surgery patients admitted to and discharged from hospital between 1 January 2017 and 31 December 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 4904 patients with complete data and included in the analysis, 1789 (36.5%) experienced delirium during their hospital stay. Patients with delirium also had a higher rate of in\u2010hospital mortality (adjusted HR\u00a0=\u00a01.76; 95% CI\u00a0=\u00a01.24, 2.49; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), a higher rate of long\u2010term mortality (adjusted HR\u00a0=\u00a01.30; 95% CI\u00a0=\u00a01.15, 1.48; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and a higher odds of discharge to an aged care facility (adjusted OR\u00a0=\u00a01.24; 95% CI\u00a0=\u00a01.04, 1.48; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.019).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A high rate of postoperative delirium exists among Australian and New Zealand hip fracture patients. Rates of hospital mortality, length of hospital stay and discharge to residential aged care are considerably worse in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17421","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T05:20:08Z","timestamp":1639459208000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Is delirium associated with negative outcomes in older patients with hip fracture: analysis of the 4904 patients 2017\u20132018 from the Australian and New Zealand hip fracture registry"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3309-9217","authenticated-orcid":false,"given":"Tarandeep","family":"Oberai","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery College of Medicine and Public Health, Flinders University and Flinders Medical Centre  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Woodman","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics College of Medicine and Public Health, Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Laver","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Aged and Extended Aged Care College of Medicine and Public Health, Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Crotty","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Aged and Extended Aged Care College of Medicine and Public Health, Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gino","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruurd","family":"Jaarsma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic &amp; Trauma Surgery, Flinders Medical Centre Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1568-1637(02)00045-4"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60688-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2015.12.004"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2013.10.006"},{"key":"e_1_2_10_6_1","article-title":"Economic impact of delirium in Australia: a cost of illness study","volume":"9","author":"Pezzullo L","year":"2019","journal-title":"BMJ"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/28.6.551"},{"key":"e_1_2_10_8_1","first-page":"575","article-title":"Delirium in older medical inpatients and subsequent cognitive and functional status: a prospective study","volume":"165","author":"McCusker J","year":"2001","journal-title":"CMAJ"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/55.9.M527"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.2606"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00724"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S115945"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0936-5"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-017-0789-5"},{"key":"e_1_2_10_15_1","unstructured":"ANZHFR.ANZHFR Bi\u2010National Annual Report of Hip Fracture Care2018. Available from:https:\/\/anzhfr.org\/wp-content\/uploads\/2018\/11\/2018-ANZHFR-Annual-Report-FULL-FINAL.pdf"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2021.104368"},{"key":"e_1_2_10_17_1","volume-title":"Data Dictionary Version 12","author":"ANZHFR","year":"2019"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-019-05172-7"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4914"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2016.10.008"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb04718.x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.11.044"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217002782"},{"key":"e_1_2_10_24_1","unstructured":"Registry AaNZHF.ANZHFR Annual Report of Hip Fracture Care 2019.2019."},{"key":"e_1_2_10_25_1","doi-asserted-by":"crossref","unstructured":"MathurMB DingP RiddellCA VanderWeeleTJJE.Website and R package for computing E\u2010values.2018;29:e45.","DOI":"10.1097\/EDE.0000000000000864"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17421","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.17421","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17421","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T19:30:50Z","timestamp":1692819050000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.17421"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,13]]},"references-count":24,"journal-issue":{"issue":"1-2","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/ans.17421"],"URL":"https:\/\/doi.org\/10.1111\/ans.17421","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,13]]},"assertion":[{"value":"2021-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}