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CO RR EC TE D PR OO F physician is required in disregarding another pathology and to adjust treatment.We collected epidemiological data, associated comorbidities, days of delay to surgery, presence of another complications, length of stay, evolution (discharge or death) and readmissions within 30 days after discharge. Results: The study included 131 patients with hip fracture in this period; the mean age was 81.15 +/− 10.19 years and 107 (81.7%) were women. A total of 24 (18.3%) patients developed delirium. There was no differences in gender (p= 0.12), but thosewith deliriumwere older (84.9 vs 80.2, p = 0.04) and had a higher length of stay (25.2 vs 17.3, p = 0.03). The mean Barthel index was lower in those with delirium (65 vs 78, p = 0.14). Previous diagnosis of dementia is associated with the presence of this complication (41.7% vs 22.4%, p = 0.04). There were no differences between those who were operated before or after 72 h (p= .87). The presence of another complications (heart failure, arrhythmia, renal failure, pneumonia, diabetic ketoacidosis, urinary tract infections, pressure ulcers, and hypertension) was similar in both groups. In evolution, the development of delirium did not provide a higher mortality (4.2% vs 8.4%, p = 0.42) but was associated with a higher rate of readmissions within 30 days (20.8% vs. 7.5%, p = 0.04), especially for medical reasons and higher mortality rate in the readmission (80% vs 12.5%, p = 0.03). The healthcare cost of a patient with delirium is 19% greater than in a patient without delirium (1.121.15€). Conclusion: In our series, the presence of acute deliriumhas been associatedwith increased age, prior history of dementia and a lower score on the Barthel Index. Surgical delay does not affect the development of this syndrome. There is no increased mortality during hospitalization, however, these patients have a higher length of stay, readmission rate and mortality within 30 days, with a consequent increase in healthcare costs. Measures to reduce the incidence of this syndrome, would lead to significant economic savings. |
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