{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:13:29Z","timestamp":1772180009519,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/hrbopenres.13996.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000}}],"reference-count":40,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["ARPP-2023-002"],"award-info":[{"award-number":["ARPP-2023-002"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns3:p>Background Delirium and cognitive impairment are common in hip fracture populations and are associated with significant adverse patient outcomes. National hip fracture registries facilitate improvements in patient outcomes and care quality, such as reduced mortality and the development of specialist multidisciplinary services. However, there is substantial variation in the data collected and reported in relation to delirium and cognition, which impedes international comparison and may reduce quality of care. Objective This scoping review aims to identify delirium and cognition data items currently collected by hip fracture registries internationally, to identify associated registry guidance that exists for the administration of delirium and cognitive screening tools, and report outcomes of these data items across the most recently published annual reports of identified hip fracture registries. Methods This scoping review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR). We will search the following databases: Medline Ovid; Embase; CINAHL EBSCOHost. Relevant websites such as the Fragility Fracture Network (FFN) will also be searched. Study selection and review will be carried out independently by two research team members, with discrepancies resolved by a third member of the research team. Data extraction and synthesis will be conducted by one reviewer and checked for accuracy and omissions by another. The scoping review findings will be informed and validated through engagement with the FFN Hip Fracture Audit Special Interest Group, who will share their knowledge, expertise, and research to achieve consensus over core aspects of the scoping review findings. Conclusion By identifying existing heterogeneity in delirium and cognitive screening tool use and administration, it is hoped that administration and specific screening tool use will become standardised to optimise comparability across countries and ensure that high quality and reliable data are included across international registry reports.<\/ns3:p>","DOI":"10.12688\/hrbopenres.13996.2","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T11:15:07Z","timestamp":1737717307000},"page":"68","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol"],"prefix":"10.12688","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5327-7762","authenticated-orcid":false,"given":"Niamh A.","family":"Merriman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7023-7108","authenticated-orcid":false,"given":"Rose S.","family":"Penfold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9129-235X","authenticated-orcid":false,"given":"Louise","family":"Brent","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Hickey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary E.","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5564-7771","authenticated-orcid":false,"given":"Eithne","family":"Sexton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara","family":"Coughlan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alasdair M. 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status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/hrbopenres.15459.r44987, Ole Martin Steihaug, University of Bergen, Bergen, 27 Jan 2025, version 2, indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/7-68\/v2#referee-response-44987","order":0,"name":"referee-response-44987","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/hrbopenres.15362.r44726, Anette Hylen Ranhoff, University of Bergen, Bergen, 22 Jan 2025, version 1, 1 approved, 1 approved with reservations","URL":"https:\/\/hrbopenresearch.org\/articles\/7-68\/v1#referee-response-44726","order":1,"name":"referee-response-44726","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Niamh A. Merriman<\/b>; \n<i>Posted: 22 Jan 2025<\/i>; We thank the reviewer for their constructive feedback on this protocol. We now address each point in responses below the review comment.  \n<i>This is a protocol article describing the rationale for, the aims and the methods of a scoping review of delirium and cognitive screening in National Hip Fracture Registries.<\/i> \n<i>It is well known that cognitive impairment, dementia and delirium are very common among hip fracture patients and have great impact on care and recovery.<\/i> \n<i>So, this is a priceworthy initiative. The study protocol is clear and well written, and I have only some minor comments to make:<\/i>  \n<b>Response<\/b>: Thank you for reviewing this protocol. We appreciate the feedback on relevance of the study.  \n<i>It is of interest to know how many countries who have national hip fracture registries. This could be included in this protocol article or be a result from the actual review.<\/i> \n<i>It is a strength that the review aim to differentiate between delirium, mild cognitive impairment and dementia, which are conditions with different consequences who might require different screening tools.<\/i>  \n<b>Response<\/b>: Thank you for this comment. We appreciate your positive feedback on our study\u2019s aim. In terms of how many countries have national hip fracture registries, we hope to answer this question through the review process and through engagement with the FFN Hip Fracture Audit Special Interest Group. We have also added the following to the Data synthesis and presentation section: \u201c\n<i>A checklist of the 50 most populous United Nations (UN) member states or constituent countries of a UN member state will be compiled for comparison with identified hip fracture registries to illustrate their international distribution or potential gaps<\/i>.\u201d","URL":"https:\/\/hrbopenresearch.org\/articles\/7-68\/v2#referee-comment-3719","order":2,"name":"referee-comment-3719","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"Health Research Board [ARPP-2023-002]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}