Due to her confused state of mind her length of stay on the acute ward was prolonged and her rehabilitation programme halted. Iona Price, Chair of Patient Panel for the RCP’s Falls and Fragility Fracture Audit Programme, said:įollowing surgery for a hip fracture my mother experienced delirium. Patients may remain in hospital for a number of weeks, and at any one time patients recovering from hip fracture occupy over 3,600 hospital beds in England, Wales and Northern Ireland. Hip fracture is the commonest reason for older people to need emergency anaesthesia and surgery, and the commonest cause of accidental death. Such patients were twice as likely to die in hospital, and four times more likely to need to move to live in a nursing home – a result that most fear more than dying. The NHFD’s annual report shows that a quarter of all patients were identified as having delirium after surgery. Delirium is the commonest complication of hip fracture, and of the anaesthesia and surgery necessary to treat this injury.ĭelirium can take the form of sudden confusion, drowsiness or agitation, and can be a terrifying experience for frail older patients and their families. The NHFD has championed the routine assessment of people to identify, prevent and treat such problems, and over 80% of all patients received such assessment in 2017. The latest National Hip Fracture Database (NHFD) annual reports the dramatic results of an innovative programme of screening for delirium which has been the focus of attention and investment through NHS England’s best practice tariff.
NHFD 2018 annual report Rise in older patients receiving innovative tests for delirium
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