{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:47:23Z","timestamp":1784249243530,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005386","name":"American Psychiatric Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005386","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The low recognition rate of postoperative delirium has gradually aroused clinical attention in China. The present study was to investigate the impact of consultation\u2010liaison psychiatry on postoperative delirium in elderly hip fracture patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From March 2012 to September 2013, 89 patients with hip fractures hospitalized in Wuhan Mental Health Center were included in this prospective study as the consultation\u2010liaison group. A total of 81 patients selected from August 2010 to February 2012 were defined as the conventional group. The delirium was evaluated using the confusion assessment method (CAM) recommended by the American Psychiatric Association guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no difference of sex, age, trauma, surgical methods, and anesthesia between two groups (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). The consultation rate of consultation\u2010liaison group was significantly higher than that of conventional group (37.07% <jats:italic>vs<\/jats:italic> 17.28%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). After the consultation, there were 26 cases (78%) and nine cases (64%) of delirium in the consultation\u2010liaison and conventional group, respectively (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). In the consultation\u2010liaison group, three patients (9.09%) were diagnosed with anxiety and three patients (9.09%) were diagnosed with depression, while in the conventional group, three patients (21.42%) were diagnosed with communication and one patient (7.14%) was diagnosed with depression. In addition, this study showed the incidence of delirium in consultation\u2010liaison group was significantly higher than that of conventional group (29.21% <jats:italic>vs<\/jats:italic> 11.11%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The average hospital stay in consultation\u2010liaison group was significantly lower than that of conventional group (11.42\u2009\u00b1\u20092.63 <jats:italic>vs.<\/jats:italic> 15.17\u2009\u00b1\u20092.38\u2009days, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Consultation\u2010liaison psychiatry could improve the recognition rate of postoperative delirium in elderly hip fracture patients, shorten hospitalization time. The training of mental health knowledge for non\u2010psychiatrists could improve the ability of early identification and treatment of delirium.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13501","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T07:54:31Z","timestamp":1672818871000},"page":"534-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effect of Consultation\u2010Liaison Psychiatry on Postoperative Delirium in Elderly Hip Fracture Patients in the General Hospital"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9852-8652","authenticated-orcid":false,"given":"Qin","family":"Xie","sequence":"first","affiliation":[{"name":"Wuhan Mental Health Center  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Bo","family":"Liu","sequence":"additional","affiliation":[{"name":"Wuhan Mental Health Center  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6430-5546","authenticated-orcid":false,"given":"Guang\u2010Wu","family":"Jing","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Sixth Hospital of Wuhan Affiliated Hospital of Jianghan University  Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Jiang","sequence":"additional","affiliation":[{"name":"Wuhan Mental Health Center  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Liu","sequence":"additional","affiliation":[{"name":"Wuhan Mental Health Center  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bao\u2010Liang","family":"Zhong","sequence":"additional","affiliation":[{"name":"Wuhan Mental Health Center  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Wuhan Mental Health Center  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,3]]},"reference":[{"issue":"9","key":"e_1_2_8_2_1","first-page":"56","article-title":"Delirium or Dementia?","volume":"13","author":"Lippmann S","year":"2016","journal-title":"Innov Clin Neurosci"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/AITC202010060"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl005"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2014.01.002"},{"key":"e_1_2_8_6_1","article-title":"Is delirium associated with negative outcomes in older patients with hip fracture: analysis of the 4904 patients 2017\u20102018 from the Australian and New Zealand hip fracture registry","author":"Oberai T","year":"2021","journal-title":"ANZ J Surg"},{"key":"e_1_2_8_7_1","article-title":"Independent, differential effects of delirium on disability and mortality risk after hip fracture","author":"Cartei A","year":"2021","journal-title":"J Am Med Dir Assoc"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-020-01147-2"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.114.046862"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-12-941"},{"key":"e_1_2_8_11_1","volume-title":"9706.2\u20102003 GT: Medical electrical equipment, safety specific requirement for hemodialysis, hemodiafiltration and hemofiltration equipment","year":"2003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi019"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.12067"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5408"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","DOI":"10.12688\/f1000research.16780.1","article-title":"Recent advances in preventing and managing postoperative delirium","volume":"8","author":"Vlisides P","year":"2019","journal-title":"F1000Research"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0000000000000882"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13501","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T21:06:24Z","timestamp":1692479184000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,3]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/os.13501"],"URL":"https:\/\/doi.org\/10.1111\/os.13501","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,3]]},"assertion":[{"value":"2022-07-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}