Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]

Background 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...

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Main Authors: Pamela Hickey, Rose S. Penfold, Louise Brent, Niamh A. Merriman, Eithne Sexton, Tara Coughlan, Mary E. Walsh, Antony Johansen, Catherine Blake, Alasdair M. J. MacLullich, Andrew J. Hall, Cristina Ojeda-Thies
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Language:English
Published: F1000 Research Ltd 2025-01-01
Series:HRB Open Research
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Online Access:https://hrbopenresearch.org/articles/7-68/v2
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author Pamela Hickey
Rose S. Penfold
Louise Brent
Niamh A. Merriman
Eithne Sexton
Tara Coughlan
Mary E. Walsh
Antony Johansen
Catherine Blake
Alasdair M. J. MacLullich
Andrew J. Hall
Cristina Ojeda-Thies
author_facet Pamela Hickey
Rose S. Penfold
Louise Brent
Niamh A. Merriman
Eithne Sexton
Tara Coughlan
Mary E. Walsh
Antony Johansen
Catherine Blake
Alasdair M. J. MacLullich
Andrew J. Hall
Cristina Ojeda-Thies
author_sort Pamela Hickey
collection DOAJ
description Background 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. Objective 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. Methods 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. Conclusion 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.
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spelling doaj-art-aae8c34f8c7e41b28cf14c8d197ca3252025-01-28T01:00:00ZengF1000 Research LtdHRB Open Research2515-48262025-01-01715459Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]Pamela Hickey0Rose S. Penfold1https://orcid.org/0000-0001-7023-7108Louise Brent2https://orcid.org/0000-0001-9129-235XNiamh A. Merriman3https://orcid.org/0000-0002-5327-7762Eithne Sexton4https://orcid.org/0000-0002-5564-7771Tara Coughlan5Mary E. Walsh6Antony Johansen7Catherine Blake8https://orcid.org/0000-0002-0600-629XAlasdair M. J. MacLullich9Andrew J. Hall10Cristina Ojeda-Thies11National Office of Clinical Audit, Dublin, IrelandEdinburgh Delirium Research Group, Ageing and Health and Advanced Care Research Centre, University of Edinburgh, Edinburgh, Scotland, UKNational Office of Clinical Audit, Dublin, IrelandSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandSchool of Population Health, Royal College of Surgeons in Ireland University of Medicine and Health Sciences, Dublin, IrelandDiscipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, IrelandSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandSchool of Medicine, Cardiff University and University Hospital of Wales, Cardiff, Wales, UKSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandEdinburgh Delirium Research Group, Ageing and Health and Advanced Care Research Centre, University of Edinburgh, Edinburgh, Scotland, UKSchool of Medicine, University of St Andrews, St Andrews, Scotland, UKDepartment of Surgery, School of Medicine, Complutense University of Madrid, Madrid, SpainBackground 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. Objective 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. Methods 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. Conclusion 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.https://hrbopenresearch.org/articles/7-68/v2scoping review protocol hip fracture audit registries cognition deliriumeng
spellingShingle Pamela Hickey
Rose S. Penfold
Louise Brent
Niamh A. Merriman
Eithne Sexton
Tara Coughlan
Mary E. Walsh
Antony Johansen
Catherine Blake
Alasdair M. J. MacLullich
Andrew J. Hall
Cristina Ojeda-Thies
Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]
HRB Open Research
scoping review protocol
hip fracture
audit
registries
cognition
delirium
eng
title Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]
title_full Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]
title_fullStr Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]
title_full_unstemmed Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]
title_short Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol [version 2; peer review: 2 approved]
title_sort delirium and cognitive screening in national hip fracture registries scoping review protocol version 2 peer review 2 approved
topic scoping review protocol
hip fracture
audit
registries
cognition
delirium
eng
url https://hrbopenresearch.org/articles/7-68/v2
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