dc.date.accessioned | 2021-09-22T17:18:01Z | |
dc.date.available | 2021-09-22T17:18:01Z | |
dc.date.created | 2021-06-03T12:05:50Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Pollmann, Christian Thomas Mellingsæter, Marte Neerland, Bjørn Erik Straume-Næsheim, Truls Martin Årøen, Asbjørn Watne, Leiv . Orthogeriatric co-management reduces incidence of delirium in hip fracture patients. Osteoporosis International. 2021 | |
dc.identifier.uri | http://hdl.handle.net/10852/88310 | |
dc.description.abstract | Summary: Hip fracture patients often display an acute confusional state (delirium) which is associated with worse outcomes. In this observational study, we found that co-management of hip fracture patients by a multidisciplinary team including a geriatrician and an orthopaedic surgeon could reduce the incidence of delirium. Introduction: Delirium after hip fracture is common and is associated with negative outcomes. We investigated if orthogeriatric co-management reduced the incidence of delirium in hip fracture patients. Methods: In this single-centre, prospective observational study, we compared the incidence of delirium and subsyndromal delirium (SSD) before (usual care group, n = 94) and after (orthogeriatric group, n = 103) the introduction of orthogeriatric co-management as an integrated care model. The outcome measure ‘no delirium/SSD/delirium’ was treated as an ordinal variable and analysed using the chi-squared test and multivariable ordinal logistic regression. Results: The groups had similar baseline characteristics except for a higher proportion of patients with pre-existing cognitive impairment in the usual care group (51% vs. 37%, p = 0.045). Fewer patients in the orthogeriatric group developed SSD or delirium (no delirium: 59% vs. 40%/SSD: 6% vs. 13%/delirium: 35% vs. 47%; p = 0.021). The number needed to treat (NNT) to avoid one case of SSD or delirium was 5.3 (95% CI: 3.1 to 19.7). In a multivariable analysis adjusted for age, sex, ASA class, pre-existing cognitive impairment, time to surgery, type of surgery, and medical or surgical complications, the odds ratio for the development of SSD/delirium was lower in the orthogeriatric group (OR = 0.46, 95% CI: 0.23–0.89, p = 0.023). Conclusion: Orthogeriatric co-management as an integrated care model reduced the incidence of SSD/delirium in hip fracture patients. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.title | Orthogeriatric co-management reduces incidence of delirium in hip fracture patients | |
dc.type | Journal article | |
dc.creator.author | Pollmann, Christian Thomas | |
dc.creator.author | Mellingsæter, Marte | |
dc.creator.author | Neerland, Bjørn Erik | |
dc.creator.author | Straume-Næsheim, Truls Martin | |
dc.creator.author | Årøen, Asbjørn | |
dc.creator.author | Watne, Leiv | |
cristin.unitcode | 185,53,83,0 | |
cristin.unitname | Klinikk for kirurgiske fag | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1913536 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Osteoporosis International&rft.volume=&rft.spage=&rft.date=2021 | |
dc.identifier.jtitle | Osteoporosis International | |
dc.identifier.pagecount | 9 | |
dc.identifier.doi | https://doi.org/10.1007/s00198-021-05974-8 | |
dc.identifier.urn | URN:NBN:no-90927 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0937-941X | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/88310/2/Straume-Nasheim%2BOsteoporosInt%2B2021.pdf | |
dc.type.version | PublishedVersion | |