June 10, 2026 · Journal of the American College of Surgeons · DOI: 10.1097/XCS.0000000000002043

Hospital Variation in Postoperative Delirium Screening and Outcomes in Older Adult Surgical Patients: A National Analysis of Geriatric and Non-Geriatric Surgery Verification Hospitals

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The authors aimed to investigate the implementation and impact of standardized postoperative delirium screening in older surgical patients across Geriatric Surgery Verification (GSV) and non-GSV hospitals. Their findings revealed that GSV hospitals had significantly higher screening rates but similar delirium detection rates compared to non-GSV hospitals, suggesting that variations in screening practices do not reflect differences in actual delirium incidence. Additionally, GSV hospitals exhibited shorter lengths of stay, indicating that structured geriatric care processes may enhance efficiency and outcomes, regardless of delirium development.

Sarah L Remer, Caroline Smolkin, Ronnie Rosenthal, Clifford Y Ko, Marcia M Russell

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