Merriman Niamh A, Penfold Rose S, Brent Louise, Hickey Pamela, Walsh Mary E, Sexton Eithne, Coughlan Tara, MacLullich Alasdair M J, Johansen Antony, Ojeda-Thies Cristina, Hall Andrew J, Blake Catherine
School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Edinburgh Delirium Research Group, Ageing and Health and Advanced Care Research Centre, University of Edinburgh, Edinburgh, Scotland, UK.
HRB Open Res. 2025 Jan 24;7:68. doi: 10.12688/hrbopenres.13996.2. eCollection 2024.
Delirium and cognitive impairment are common in hip fracture populations and are associated with significant adverse patient outcomes. National hip fracture registries facilitate improvements in patient outcomes and care quality, such as reduced mortality and the development of specialist multidisciplinary services. However, there is substantial variation in the data collected and reported in relation to delirium and cognition, which impedes international comparison and may reduce quality of care.
This scoping review aims to identify delirium and cognition data items currently collected by hip fracture registries internationally, to identify associated registry guidance that exists for the administration of delirium and cognitive screening tools, and report outcomes of these data items across the most recently published annual reports of identified hip fracture registries.
This scoping review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR). We will search the following databases: Medline Ovid; Embase; CINAHL EBSCOHost. Relevant websites such as the Fragility Fracture Network (FFN) will also be searched. Study selection and review will be carried out independently by two research team members, with discrepancies resolved by a third member of the research team. Data extraction and synthesis will be conducted by one reviewer and checked for accuracy and omissions by another. The scoping review findings will be informed and validated through engagement with the FFN Hip Fracture Audit Special Interest Group, who will share their knowledge, expertise, and research to achieve consensus over core aspects of the scoping review findings.
By identifying existing heterogeneity in delirium and cognitive screening tool use and administration, it is hoped that administration and specific screening tool use will become standardised to optimise comparability across countries and ensure that high quality and reliable data are included across international registry reports.
谵妄和认知障碍在髋部骨折患者中很常见，并与患者的严重不良预后相关。国家髋部骨折登记处有助于改善患者预后和护理质量，如降低死亡率以及发展专科多学科服务。然而，在收集和报告的有关谵妄和认知的数据方面存在很大差异，这阻碍了国际比较，并可能降低护理质量。
本范围综述旨在确定国际上髋部骨折登记处目前收集的谵妄和认知数据项，确定存在的有关谵妄和认知筛查工具管理的登记处指南，并在已识别的髋部骨折登记处最近发布的年度报告中报告这些数据项的结果。
本范围综述将按照系统评价扩展版的首选报告项目（PRISMA-ScR）进行。我们将搜索以下数据库：Medline Ovid；Embase；CINAHL EBSCOHost。还将搜索诸如脆性骨折网络（FFN）等相关网站。研究选择和综述将由两名研究团队成员独立进行，分歧由研究团队的第三名成员解决。数据提取和综合将由一名评审员进行，并由另一名评审员检查准确性和遗漏情况。范围综述的结果将通过与FFN髋部骨折审计特别兴趣小组的合作得到告知和验证，该小组将分享他们的知识、专业知识和研究成果，以就范围综述结果的核心方面达成共识。
通过识别谵妄和认知筛查工具使用及管理中现有的异质性，希望管理和特定筛查工具的使用将实现标准化，以优化各国之间的可比性，并确保国际登记报告中包含高质量和可靠的数据。
