Abstract
Introduction:
Neck of femur fractures (NOF) remain a significant cause of mortality in the elderly, especially in those who develop delirium post operatively. The aim of our study is to identify risk factors that may contribute to developing a delirium.
Method:
A prospective cohort study of 717 patients presenting to Morriston Hospital who underwent operative management for a NOF fracture.
Results:
A total of 103 patients developed a post-operative delirium, an incidence of 14.4%. Clinical Frailty Score (CFS) and Abbreviated Mental Test Score (AMTS) proved to be significantly associated with developing delirium (p<.0001). delirium was highly prevalent in patients with moderate frailty (cfs6≥) and an abnormal amt score (<8), present 70% 73% respectively individual odds ratios of 4.1 5.2. delirious suffered higher inpatient mortality (16% v 5%, p 0.0004), increased length stay (32 vs 23 days, <0.0001) were more likely to be directly institutionalised (10% 3% 0.002) without rehabilitation. admission inflammatory markers prolonged waiting times for theatre both groups not pursued.
Conclusions:
Presenting amts at greatest risk developing a which associated poorer outcomes. we propose identifying high-risk from the point ensure early targeting potential reversible factors. toolkit could aid these there may also argument prioritisation individuals list given their mortality.