Nocturnal Hypoxia in Geriatric Patients After Hip Fracture
Nocturnal Hypoxia in Geriatric Patients After Hip Fracture
Delirium is a common complication following hip fracture surgery (HFS) in older people.
 Postoperative hypoxia has also been associated with delirium, but not specifically in
 geriatric patients. The aim of the study is to demonstrate that post-operative hypoxia is
 associated with in-hospital complications in patients with HFS.
Patients hospitalized in orthogeriatric unit after HFS will be monitored for nocturnal SpO2
 with a pulse oximeter continuously during 3 nights. In-hospital complications will be
 recorded prospectively in all patients, especially the occurrence of delirium with the CAM
 scale. The hypoxia vs non-hypoxia (more than 20% of the time spent with SpO2<90%) groups will
 be analyzed for clinical characteristics, comorbidities and medication use.

 The statistical association between severe post-operative nocturnal hypoxemia and occurrence
 of delirium will be assessed. The dependance between this association and daytime SpO2 will
 also be assessed. The potential confirmation of an association between post-operative
 nocturnal hypoxemia in patients with HFS and the occurrence of delirium will lead the
 reflection on a clinical trial testing the benefit of oxygen therapy in the prevention of
 post-operative delirium, to improve the medical care of orthogeriatric patients.
Inclusion Criteria:

 -  age over 70 years old,

 -  hospitalized in orthogeriatrics for hip fracture surgery

 -  information about the study and expression of non opposition

 -  Expected hospital stay of 5 nights or more

 Exclusion Criteria:

 -  patient under guardianship,

 -  any other type of fracture associated,

 -  oxymetry recording not possible (behavioral disorders, night stirring,...)