{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:28:32Z","timestamp":1785756512556,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T00:00:00Z","timestamp":1479772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000194","name":"Nova Scotia Health Research Foundation","doi-asserted-by":"publisher","award":["D2006\u201346"],"award-info":[{"award-number":["D2006\u201346"]}],"id":[{"id":"10.13039\/501100000194","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To compare the feasibility (adherence) and effectiveness (prevalence of delirium, length of stay, mortality, discharge site) of delirium\u2010friendly preprinted postoperative orders (\n                      <jats:styled-content style=\"fixed-case\">PPO<\/jats:styled-content>\n                      s) for individuals with hip fracture, administered by regular orthopedic nurses, with routine postoperative orders.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pragmatic clinical trial to evaluate a quality improvement intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals aged 65 and older admitted for hip fracture repair (N = 283).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">PPO<\/jats:styled-content>\n                      s with delirium\u2010friendly options and doses for nighttime sedation, analgesia, and nausea and attention to catheter removal and bowel movements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Adherence to\n                      <jats:styled-content style=\"fixed-case\">PPO<\/jats:styled-content>\n                      was compared with adherence to routine orders. Drug doses were recorded. Presence of delirium was documented using the Confusion Assessment Method and the Mini\u2010Mental State Examination on postoperative Days 1, 3, and 5. Length of stay, discharge site, and in\u2010hospital mortality were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Orthopedic nurses adhered reasonably well with delirium\u2010friendly\n                      <jats:styled-content style=\"fixed-case\">PPO<\/jats:styled-content>\n                      s. Of 283 participants, 42% developed postoperative delirium, with significantly less delirium in the intervention group (intervention 33%, control 51%,\n                      <jats:italic>P<\/jats:italic>\n                      = .001). The effect of the intervention was stronger in individuals with preexisting dementia (intervention 60%, control 97%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Participants with postoperative delirium had longer hospital stays and were more likely to die or be discharged to a nursing home, but there was no significant between\u2010group difference in these outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      It is possible to introduce delirium\u2010friendly\n                      <jats:styled-content style=\"fixed-case\">PPO<\/jats:styled-content>\n                      s into routine post\u2010hip fracture care in a representative elderly population including individuals with dementia. Delirium\u2010friendly\n                      <jats:styled-content style=\"fixed-case\">PPO<\/jats:styled-content>\n                      s executed by regular nursing staff resulted in a significant reduction in postoperative delirium but no difference in other outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14568","type":"journal-article","created":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T07:14:57Z","timestamp":1479798897000},"page":"567-573","source":"Crossref","is-referenced-by-count":41,"title":["Translating Delirium Prevention Strategies for Elderly Adults with Hip Fracture into Routine Clinical Care: A Pragmatic Clinical Trial"],"prefix":"10.1111","volume":"65","author":[{"given":"Susan","family":"Freter","sequence":"first","affiliation":[{"name":"Department of Medicine Dalhousie University Halifax Nova Scotia Canada"},{"name":"Center for Health Care of the Elderly QEII Health Sciences Centre Capital District Health 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