Using the Naples Prognostic Score to Predict Postoperative Delirium in Older Adults Having Hip Fracture Surgery

What this Trial Is About

Researchers are examining the ability of the Naples Prognostic Score NPS to predict postoperative delirium POD in elderly patients undergoing hip fracture surgery. POD is an acute brain dysfunction common after surgery, especially in older adults, linked to worse outcomes like longer hospital stays, higher costs, and increased risk of cognitive decline. The study focuses on patients aged 60 and older, as POD is a significant concern in this population. The study monitors patients who undergo hip fracture surgery by screening for delirium upon arrival to the Post-Anesthesia Care Unit PACU and daily for the first three postoperative days, with additional checks on days 5 and 7. NPS combines markers of inflammation and nutrition, including albumin levels and specific blood cell ratios, to evaluate risk. This observational study does not involve experimental treatments but observes natural outcomes related to these markers. Participants will be assessed through regular delirium screenings after surgery and have their length of hospital stay recorded before discharge. Blood samples are taken preoperatively to calculate the NPS. The researchers aim to identify patients at higher risk for POD to improve care strategies. Participation lasts through the hospital stay with multiple follow-up assessments during the first postoperative week.

Naples Prognostic Score for Predicting Postoperative Delirium