{"id":"https://openalex.org/W7225617843","doi":"https://doi.org/10.62713/aic.4921","title":"Application of a Risk Assessment-Based Stratified Early Warning Nursing Model to Prevent Postoperative Delirium in Geriatric Patients Undergoing Orthopedic Surgery","display_name":"Application of a Risk Assessment-Based Stratified Early Warning Nursing Model to Prevent Postoperative Delirium in Geriatric Patients Undergoing Orthopedic Surgery","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225617843","doi":"https://doi.org/10.62713/aic.4921"},"language":"en","primary_location":{"id":"doi:10.62713/aic.4921","doi":"https://doi.org/10.62713/aic.4921","is_oa":true,"landing_page_url":"https://doi.org/10.62713/aic.4921","pdf_url":"https://storage.annaliitalianidichirurgia.it/AIC/2119956126384496600/application/AIC-97-11-2099-2107.pdf","source":{"id":"https://openalex.org/S54302288","display_name":"Annali Italiani di Chirurgia","issn_l":"0003-469X","issn":["0003-469X","2239-253X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annali Italiani di Chirurgia","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://storage.annaliitalianidichirurgia.it/AIC/2119956126384496600/application/AIC-97-11-2099-2107.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100758871","display_name":"Wei Liu","orcid":"https://orcid.org/0000-0003-0935-3999","observed_orcids":["https://orcid.org/0000-0003-0935-3999"]},"institutions":[{"id":"https://openalex.org/I4210125137","display_name":"First Hospital of Jilin University","ror":"https://ror.org/034haf133","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210125137"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Wei Liu","raw_affiliation_strings":["Department of Orthopedics, The First Hospital of Jilin University, 130021 Changchun, Jilin, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The First Hospital of Jilin University, 130021 Changchun, Jilin, China","institution_ids":["https://openalex.org/I4210125137"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101459465","display_name":"Dongxue Li","orcid":"https://orcid.org/0000-0002-9213-8271","observed_orcids":["https://orcid.org/0000-0002-9213-8271"]},"institutions":[{"id":"https://openalex.org/I4210125137","display_name":"First Hospital of Jilin University","ror":"https://ror.org/034haf133","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210125137"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Dongxue Li","raw_affiliation_strings":["Department of Orthopedics, The First Hospital of Jilin University, 130021 Changchun, Jilin, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, The First Hospital of Jilin University, 130021 Changchun, Jilin, China","institution_ids":["https://openalex.org/I4210125137"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5101459465"],"corresponding_institution_ids":["https://openalex.org/I4210125137"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"97","issue":"11","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postoperative-delirium","display_name":"postoperative delirium","score":0.9980000257492065},{"id":"https://openalex.org/keywords/delirium-prevention","display_name":"delirium prevention","score":0.8009999990463257},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.6869999766349792},{"id":"https://openalex.org/keywords/orthopedic-surgery","display_name":"orthopedic surgery","score":0.9819999933242798},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"risk assessment","score":0.7490000128746033},{"id":"https://openalex.org/keywords/nursing-models","display_name":"nursing models","score":0.7250000238418579},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9200000166893005},{"id":"https://openalex.org/keywords/nurse-satisfaction","display_name":"nursing satisfaction","score":0.9200000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9526000022888184},{"id":"https://openalex.org/C2779753318","wikidata":"https://www.wikidata.org/wiki/Q160796","display_name":"Delirium","level":2,"score":0.8468999862670898},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.7968000173568726},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6589999794960022},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5602999925613403},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5027999877929688},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4997999966144562},{"id":"https://openalex.org/C140117577","wikidata":"https://www.wikidata.org/wiki/Q260842","display_name":"Nursing Interventions Classification","level":3,"score":0.42559999227523804},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.3691999912261963},{"id":"https://openalex.org/C29825287","wikidata":"https://www.wikidata.org/wiki/Q1427940","display_name":"Warning system","level":2,"score":0.35910001397132874},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.35659998655319214},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.33809998631477356},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.3343000113964081},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.33070001006126404},{"id":"https://openalex.org/C2781312054","wikidata":"https://www.wikidata.org/wiki/Q5354947","display_name":"Elective surgery","level":2,"score":0.329800009727478},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.3255999982357025},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.29350000619888306},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.288100004196167},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.28459998965263367},{"id":"https://openalex.org/C3020404979","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk stratification","level":2,"score":0.2815999984741211},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.26350000500679016}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.62713/aic.4921","doi":"https://doi.org/10.62713/aic.4921","is_oa":true,"landing_page_url":"https://doi.org/10.62713/aic.4921","pdf_url":"https://storage.annaliitalianidichirurgia.it/AIC/2119956126384496600/application/AIC-97-11-2099-2107.pdf","source":{"id":"https://openalex.org/S54302288","display_name":"Annali Italiani di Chirurgia","issn_l":"0003-469X","issn":["0003-469X","2239-253X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annali Italiani di Chirurgia","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.62713/aic.4921","doi":"https://doi.org/10.62713/aic.4921","is_oa":true,"landing_page_url":"https://doi.org/10.62713/aic.4921","pdf_url":"https://storage.annaliitalianidichirurgia.it/AIC/2119956126384496600/application/AIC-97-11-2099-2107.pdf","source":{"id":"https://openalex.org/S54302288","display_name":"Annali Italiani di Chirurgia","issn_l":"0003-469X","issn":["0003-469X","2239-253X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annali Italiani di Chirurgia","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225617843.pdf","grobid_xml":"https://content.openalex.org/works/W7225617843.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2081033553","https://openalex.org/W2097804942","https://openalex.org/W2210301668","https://openalex.org/W2809845899","https://openalex.org/W4229055435","https://openalex.org/W4402055699","https://openalex.org/W4410336784","https://openalex.org/W4412701647","https://openalex.org/W4414564058","https://openalex.org/W4415279192","https://openalex.org/W4417439528"],"related_works":["https://openalex.org/W1952431672","https://openalex.org/W3137665625","https://openalex.org/W2080739446","https://openalex.org/W4403405937","https://openalex.org/W4293113993","https://openalex.org/W7172396271","https://openalex.org/W4411545350","https://openalex.org/W4293563936","https://openalex.org/W7166701384","https://openalex.org/W3031945235"],"abstract_inverted_index":{"AIM:":[0],"To":[1],"investigate":[2],"the":[3,53,70,78,89,95,126,146,159,164,233],"effectiveness":[4],"of":[5,40,131,137,152,195,235],"a":[6,98,178,191,211],"risk":[7,79,100,107,127,224],"assessment-based":[8,80,225],"stratified":[9,81,226],"early":[10,82,116,227],"warning":[11,83,117,228],"nursing":[12,54,84,141,213,229,250],"model":[13,55,85,230],"in":[14,19,158,163,238],"preventing":[15],"postoperative":[16,132,153,236],"delirium":[17,99,134,154,181,237,243],"(POD)":[18],"geriatric":[20,239],"orthopedic":[21,34,240],"patients.":[22],"METHODS:":[23],"A":[24],"retrospective":[25],"study":[26],"was":[27,103,155],"conducted.":[28],"Elderly":[29],"patients":[30,57],"who":[31],"underwent":[32],"elective":[33],"surgery":[35],"at":[36],"The":[37,129,150,173,223],"First":[38],"Hospital":[39],"Jilin":[41],"University":[42],"between":[43,145],"January":[44],"2024":[45],"and":[46,111,114,119,140,210,245,248],"December":[47],"2025":[48],"were":[49,58,67,86,122,143],"enrolled.":[50],"Based":[51],"on":[52],"received,":[56],"divided":[59],"into":[60],"two":[61,147],"groups:":[62],"those":[63,76],"receiving":[64,77],"routine":[65],"care":[66],"assigned":[68,87],"to":[69,88,125],"control":[71,165],"group":[72,91,161,166,175],"(98":[73],"patients),":[74],"while":[75],"intervention":[90,96,160,174],"(113":[92],"patients).":[93],"In":[94],"group,":[97],"assessment":[101],"tool":[102],"used":[104],"for":[105],"preoperative":[106],"stratification":[108],"(low,":[109],"moderate,":[110],"high":[112],"risk),":[113],"graded":[115],"measures":[118],"targeted":[120],"interventions":[121],"implemented":[123],"according":[124],"level.":[128],"incidence":[130,151,234],"delirium,":[133],"duration,":[135],"length":[136,194],"hospital":[138,196,246],"stay,":[139,247],"satisfaction":[142,214],"compared":[144],"groups.":[148],"RESULTS:":[149],"significantly":[156],"lower":[157],"than":[162],"(9.73%":[167],"vs.":[168,185,202,217],"19.39%,":[169],"p":[170,188,207,219],"=":[171,189,220],"0.045).":[172],"also":[176],"had":[177],"shorter":[179,192],"median":[180],"duration":[182,244],"(3.0":[183],"d":[184,201],"5.0":[186],"d,":[187,206],"0.005),":[190],"mean":[193],"stay":[197],"(12.18":[198],"\u00b1":[199,204],"2.60":[200],"16.48":[203],"3.13":[205],"<":[208],"0.001),":[209],"higher":[212],"rate":[215],"(96.46%":[216],"85.71%,":[218],"0.032).":[221],"CONCLUSIONS:":[222],"may":[231],"reduce":[232],"patients,":[241],"shorten":[242],"improve":[249],"satisfaction,":[251],"highlighting":[252],"its":[253],"potential":[254],"clinical":[255],"value.":[256]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}