Impact of Risk Early Warning Management on Postoperative Rehabilitation Quality and Incidence of Delirium in Patients With Unilateral Intertrochanteric Femur Fracture.

AIM: This study aims to assess the impact of risk early warning management on postoperative rehabilitation outcomes in patients with unilateral intertrochanteric femur fracture (UIFF), and to investigate the effect on the incidence of postoperative delirium.

METHODS

This study included 284 patients with unilateral femoral intertrochanteric fracture admitted between January 2023 and December 2023. The patients received internal fixation with proximal femoral nail (PFN). Patients were divided into two groups: the experimental group (n = 142), which received risk early warning management, and the control group (n = 142), which received routine perioperative management. The coagulation function and self-care ability were evaluated in both groups before (before surgery) and after intervention (10 days after surgery). Furthermore, postoperative complication rate, hip rehabilitation quality, and satisfaction levels were comparatively analyzed between the two study groups.

RESULTS

Higher fibrinogen (FBG) and lower D-dimer (D-D) were found in the experimental group compared to the control group (p < 0.05). Furthermore, the experimental group showed a significantly lower incidence of delirium, as well as improved hip rehabilitation quality and self-care ability compared to the control group (p < 0.05). Additionally, the overall satisfaction levels were substantially higher in the experimental group of patients than those observed in the control group (p < 0.05).

CONCLUSIONS

Risk early warning management can enhance the coagulation function and reduce the risk of postoperative delirium in patients with UIFF. These findings will provide a more reliable safety package for the future surgical treatment of UIFF.