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Abstract Objective: To create and verify a nomogram for predicting postoperative delirium (POD) in elderly patients having knee or hip replacements based on the FRAIL frailty index. Methods: 582 elderly patients with American Society of Anesthesiologists (ASA) grades III-IV who had elective primary total hip or knee arthroplasty at Yinchuan Guolong Orthopedic Hospital between January 2022 and June 2025 were the subject of a retrospective study.
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