Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol

Area of Science:

• Geriatric Medicine
• Orthopedic Surgery
• Neuroscience

Background:

• Delirium and cognitive impairment are prevalent in hip fracture patients, leading to adverse outcomes.
• National hip fracture registries aim to enhance patient care and outcomes.
• Current data collection on delirium and cognition in registries shows significant variation, impacting international comparability and care quality.

Purpose of the Study:

• To identify delirium and cognition data items collected by international hip fracture registries.
• To identify existing guidance for administering delirium and cognitive screening tools within registries.
• To report on the outcomes of these data items in recent registry reports.

Main Methods:

• A scoping review following PRISMA-ScR guidelines.
• Searches of Medline, Embase, CINAHL, and relevant websites (e.g., Fragility Fracture Network).
• Independent study selection, data extraction, and synthesis, with validation through expert engagement.

Main Results:

• Heterogeneity exists in the use and administration of delirium and cognitive screening tools across hip fracture registries.
• Identified variations in data items collected and reporting practices.
• Lack of standardized guidance for screening tool administration.

Conclusions:

• Standardizing the administration and use of specific screening tools is essential.
• This standardization will optimize comparability across countries.
• Ensuring high-quality, reliable data in international registry reports is a key outcome.