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13 February 2026 : Clinical Research  

Validity and Reliability of the Thai Version of the Delirium Diagnostic Tool-Provisional (DDT-Pro-TH) in Perioperative Patients With Fragility Hip Fractures

Panuwat Sinthunyathum ABCDEF 1, Ekasame Vanitcharoenkul ORCID logo ACDEF 2, Aasis Unnanuntana ORCID logo ACDE 2, Paula T. Trzepacz ORCID logo ADE 3, Pojchong Chotiyarnwong ORCID logo ACDEFG 2,4*, Jose G. Franco ORCID logo ACDEF 5

DOI: 10.12659/MSM.951143

Med Sci Monit 2026; 32:e951143

Table 1 Demographic and clinical characteristics of patients with fragility hip fracture, stratified by delirium status, with groupwise comparisons.

Patient characteristicsTotal (N=110)Delirium (n=13)Non-delirium (n=97)P-value
Sex: Female, n (%)88 (80.0%)11 (84.6%)77 (79.4%)1.000
Age (years), mean±SD77.6±7.183.1±6.076.9±7.00.003
Length of stay (days), mean±SD11.6±6.813.8±5.311.9±6.50.309
Time from admission to surgery (days), mean±SD1.8±0.91.9±0.61.9±1.40.843
Fracture characteristics, n (%):
– Intertrochanter50 (45.5%)4 (30.8%)46 (47.4%)0.375
– Femoral neck60 (54.4%)9 (69.2%)51 (52.6%)
Operation, n (%):
– Fixation50 (45.5%)4 (30.8%)46 (47.4%)0.375
– Arthroplasty60 (54.5%)9 (69.2%)51 (52.6%)
Pre-injury ambulatory status, n (%):
– Nonfunctional ambulator1 (0.9%)0 (0%)1 (1.0%)0.053
– Ambulator, dependent on physical assistance – level I (requires continuous manual contact to support body weight)2 (1.8%)1 (7.7%)1 (1.0%)
– Ambulator, dependent on physical assistance – level II (requires intermittent or continuous light touch)1 (0.9%)0 (0%)1 (1.0%)
– Ambulator, dependent on supervision (can ambulate on level surface without manual contact from another person but requires close visual monitoring)22 (20.0%)6 (46.2%)16 (16.5%)
– Ambulator, independent level surface only (can independently ambulate on level surface but requires supervision)23 (20.9%)3 (23.1%)20 (20.6%)
– Ambulator, independent (can walk everywhere independently)61 (55.5%)3 (23.1%)58 (59.8%)
Education level, n (%):
– Primary school or lower66 (60.0%)9 (69.2%)57 (58.8%)0.759
– Secondary school or diploma20 (18.2%)2 (15.4%)18 (18.6%)
– Bachelor’s degree or higher24 (21.8%)2 (15.4%)22 (22.7%)
Ambulatory assisting device, n (%):
– None67 (60.9%)8 (61.5%)59 (60.8%)0.052
– Cane29 (26.4%)3 (23.1%)26 (26.8%)
– Walker13 (11.8%)1 (7.7%)12 (12.4%)
– Wheelchair1 (0.9%)1 (7.7%)0 (0%)
SD – standard deviation.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750