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Frailty and post-operative delirium influence on functional status in patients with hip fracture: the GIOG 2.0 study.


ABSTRACT:

Background

This study analyzes the effect of frailty and Post-Operative Delirium (POD) on the functional status at hospital discharge and at 4-month follow-up in patients with hip fracture (HF).

Methods

Multicenter prospective observational study of older patients with HF admitted to 12 Italian Orthogeriatric centers (July 2019-August 2022). POD was assessed using the 4AT. A 26-item Frailty Index (FI) was created using data collected on admission. The outcome measures were Cumulated Ambulation Score (CAS) ≤ 2 at discharge and a telephone-administered CAS ≤ 2 after 4 months. Poisson regression models were used to assess the effect of frailty and POD on outcomes.

Results

984 patients (median age 84 years, IQR = 79-89) were recruited: 480 (48.7%) were frail at admission,

SUBMITTER: Gandossi CM 

PROVIDER: S-EPMC10628048 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature