Ortopedin har nyligen fått upp ögonen för akut förvirring, eller akut konfusion (delirium) som det egentligen heter. I det Nationella vårdprogrammet för höftfrakturer, som publicerades i januari 2024, ägnas en punkt till att uppmana vården att ta tillståndet på allvar:
Ortopedins blinda fläck: SÖS-modellen som lyfter delirium på agendan
Patientsäkerhet Trots att akut konfusion ökar risken för dödlighet och komplikationer upptäcks tillståndet inte alltid. På Södersjukhuset har ett nytt arbetssätt med screeningverktyget 4AT förändrat vården av höftfrakturpatienter.

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”Akut delirium är associerad med ökad risk för ytterligare komplikationer såsom förlängd vårdtid, risk för manifest demenssjukdom och död inom ett år. Trots det uppmärksammas och dokumenteras tillståndet sällan.”
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
