Koizia LJ, Wilson F, Reilly P, Fertleman MB. Delirium after emergency hip surgery – common and serious, but rarely consented for. World J Orthop 2019; 10(6): 228-234 [PMID: 31259146 DOI: 10.5312/wjo.v10.i6.228]
Corresponding Author of This Article
Louis J Koizia, MRCP, Doctor, Geriatric Medicine, Imperial College NHS Trust, Praed Street, Paddington, London W2 1NY, United Kingdom. l.koizia@nhs.net
Research Domain of This Article
Orthopedics
Article-Type of This Article
Opinion Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Jun 18, 2019; 10(6): 228-234 Published online Jun 18, 2019. doi: 10.5312/wjo.v10.i6.228
Delirium after emergency hip surgery – common and serious, but rarely consented for
Louis J Koizia, Faye Wilson, Peter Reilly, Michael B Fertleman
Louis J Koizia, Michael B Fertleman, Geriatric Medicine, Imperial College NHS Trust, London W2 1NY, United Kingdom
Faye Wilson, Geriatric Medicine, City Hospitals Sunderland, Sunderland SR4 7TP, United Kingdom
Peter Reilly, Department of Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, London W2 1NY, United Kingdom
Author contributions: The authors state equal contribution in the elaboration of this manuscript; Koizia LJ undertook literature review and wrote the manuscript; Wilson F completed literature review and wrote the manuscript; Reilly P edited the final manuscript; Fertleman MB oversaw the project and wrote the manuscript.
Conflict-of-interest statement: The authors each declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Louis J Koizia, MRCP, Doctor, Geriatric Medicine, Imperial College NHS Trust, Praed Street, Paddington, London W2 1NY, United Kingdom. l.koizia@nhs.net
Telephone: +44-20-33121077 Fax: +44-20-33121541
Received: February 3, 2019 Peer-review started: February 11, 2019 First decision: April 15, 2019 Revised: May 10, 2019 Accepted: May 21, 2019 Article in press: May 22, 2019 Published online: June 18, 2019
Core Tip
Core tip: Delirium is defined as a clinical syndrome characterised by disturbed consciousness, cognitive function or perception, which has an acute onset and fluctuating course. Delirium is common amongst patients admitted following proximal femoral fracture but is frequently unrecognised and mismanaged. Delirium can dramatically affect an individual’s stay in hospital. Delirium increases mortality and morbidity, leads to lasting cognitive and functional decline, and increases both length of stay and dependence on discharge. Delirium should be routinely and openly discussed by all members of the clinical team, including surgeons, physicians, anaesthetists, nurses and therapists. Simple strategies can be adopted to try and reduce the risk of delirium occurring and trying to manage delirium once it occurs.
