Delirium detection and improved delirium management in older patients hospitalized for hip fracture.


Journal Article

Delirium is a common and potentially devastating problem for older patients following hip fracture. Although early detection is recommended, description and evaluation of standardized approaches are scarce. The aims of this quality improvement project were to: (1) implement a clinical algorithm for improving delirium detection and management and (2) assess the impact of the clinical algorithm on length of stay, discharge disposition and patient satisfaction. The pilot study was implemented on an orthopedic unit to evaluate the effectiveness of a clinical protocol for delirium detection and management to improve outcomes. Outcomes of 33 elderly post-operative hip fracture patients were compared to historical controls from the same unit. Delirium was detected in 18% of patients. Length of stay was reduced by 22% (P < .001), discharge disposition showed a 13% improvement (P = .17) and patient satisfaction scores showed a 15% (P = .15) improvement post-intervention. Implementation of a clinical algorithm to promote early detection and treatment of delirium in post-operative hip fracture patients is feasible and associated with improved outcomes.

Full Text

Duke Authors

Cited Authors

  • Todd, KS; Barry, J; Hoppough, S; McConnell, E

Published Date

  • November 2015

Published In

Volume / Issue

  • 19 / 4

Start / End Page

  • 214 - 221

PubMed ID

  • 26547684

Pubmed Central ID

  • 26547684

Electronic International Standard Serial Number (EISSN)

  • 1878-1292

International Standard Serial Number (ISSN)

  • 1878-1241

Digital Object Identifier (DOI)

  • 10.1016/j.ijotn.2015.03.005


  • eng