articleTop 1% cited

Reducing Delirium After Hip Fracture: A Randomized Trial

Journal of the American Geriatrics Society · 2001 · Vol. 49(5) · pp. 516–522

Edward R. Marcantonio✉(General Department of Preventive Medicine)Jonathan M. Flacker(Hebrew SeniorLife)R. John Wright(Brigham and Women's Hospital)Neil M. Resnick(Harvard University)

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Abstract

Proactive geriatrics consultation was successfully implemented with good adherence after hip-fracture repair. Geriatrics consultation reduced delirium by over one-third, and reduced severe delirium by over one-half. Our trial provides strong preliminary evidence that proactive geriatrics consultation may play an important role in the acute hospital management of hip-fracture patients.

Intensive Care Unit Cognitive Disorders Hip and Femur Fractures Cardiac, Anesthesia and Surgical OutcomesMedicineDeliriumGeriatricsHip fractureRandomized controlled trialPhysical therapyComorbidityOrthopedic surgeryMedical recordEmergency medicine

MeSH terms

Activities of Daily LivingAgedAged, 80 and overAlgorithmsDeliriumFemaleGeriatricsHip FracturesHumansLength of StayMaleMental Status SchedulePostoperative CarePostoperative ComplicationsPreoperative Care

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1,370

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20.65

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Delirium in an adult acute hospital population: predictors, prevalence and detection