{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:50:15Z","timestamp":1786632615557,"version":"build-2736575974"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Postoperative delirium (POD) is a frequent complication following hip fracture surgery in older adults and is associated with adverse clinical outcomes. Early identification of high-risk patients using the Comprehensive Geriatric Assessment (CGA) may improve perioperative management and reduce morbidity.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To determine POD incidence and identify clinical, geriatric, and perioperative predictors using CGA-based assessment.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This prospective observational study included 350 patients aged \u226565 years who underwent hemiarthroplasty at a tertiary care hospital. Preoperative CGA assessed cognition, frailty, nutrition, functional status, comorbidity burden, and delirium risk. POD was evaluated using the Confusion Assessment Method on postoperative days 1, 3, and 5. Logistic regression identified independent predictors, and model performance was assessed using the Receiver-Operating-Characteristic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n POD occurred in 74 (21.1%) patients. Patients with POD were older and had higher frailty, greater comorbidity burden, lower cognitive scores, higher functional dependence, poorer nutritional status, and higher 4-A\u2019s test (4AT) scores (all\n P<\/jats:italic>\n < 0.01). Delayed surgery, greater intraoperative blood loss, and general anesthesia were also associated with POD. Independent predictors included advanced age (odds ratio [OR]: 1.11), frailty (OR: 2.39), delayed surgery (OR: 1.74), general anesthesia (OR: 1.88), lower Mini-Mental State Examination scores (OR: 2.21), higher 4AT scores (OR: 3.04), malnutrition (OR: 2.16), and multiple comorbidities (OR: 1.72). The predictive model demonstrated good discrimination (area under the curve: 0.75). POD was associated with longer hospital stay, higher intensive care unit admission, and increased 30-day mortality.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n POD is common after hemiarthroplasty in elderly patients and is influenced by both vulnerability and perioperative factors. CGA-based screening facilitates early risk stratification and targeted preventive strategies.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_87_26","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:09:23Z","timestamp":1786630163000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Postoperative Delirium in Elderly Patients Undergoing Hemiarthroplasty for Intertrochanteric Femur Fractures: A Prospective Observational Study"],"prefix":"10.4103","author":[{"given":"Radhika","family":"Vishveshwar","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin J.","family":"Tharakan","sequence":"additional","affiliation":[{"name":"Department of Medicine, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Gaikwad","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniketh","family":"Hiremath","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Dr. D. Y. Patil Medical College, Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,14]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_87_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:09:26Z","timestamp":1786630166000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_87_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_87_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]},"assertion":[{"value":"2026-01-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}