Proximal femur fracture Delirium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patients with a proximal femur fracture undergoing surgical treatment - Age ¡Ý 65 years old - Provision of written informed consent by patient or proxy
Exclusion criteria
Exclusion criteria: - Additional serious injuries or additional surgical procedures that may affect any of the outcome parameters - Implant in situ in the affected hip - Severe hearing impairment, defined as no verbal communication possible - Patients unwilling or unable to comply with the intervention - Preoperative planned hospital discharge and return to nursing home within 48 hours of admission - Insufficient knowledge of the Dutch or English language to understand the study documents in the judgement of the attending physician or researcher - Participation in another intervention study that might influence the duration of surgery or any of the outcome parameters
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delirium (DOS scale and clinical diagnosis by geriatrician) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Pain (NRS) - Anxiety (STAI-6) - Medication use - Postoperative complications - Neurohormonal stress response (serum cortisol) - Hospital length of stay - 30-day mortality - Nursing home length of stay - 90-day readmission - 90-day functional ability to perform daily living activities (Katz-ADL6) - Cost analysis (direct medical costs) | — |
Contacts
Department of Surgery, Erasmus MC University Medical Center.