Delgado A, et al. - Researchers examined how cognitive impairment on arrival at hospital in patients older than 65 years with a hip fracture, is correlated with their mortality, medical and surgical complications, and functional outcomes. They conducted an observational study of a single-center prospective consecutive cohort of 955 patients older than 64 years [Average age: 86±7.2 (65-104) years; 725 (75.9%) female] who were diagnosed with hip fracture from December 2012 to December 2015. Extracapsular fractures were reported in 538 cases (56.3%) and intracapsular in 417 (43.7%). The analysis revealed a higher overall mortality among patients with cognitive impairment; this was evident even after hospital discharge. Similarly, a higher rate of respiratory infections, urinary tract infections, and sepsis was observed among patients with dementia. This suggests cognitive impairment as a risk factor for fatality in patients with a hip fracture. Further, it is correlated with risk for suffering respiratory and urinary tract infection and sepsis. No previous work has published these two late risks factors. Cognitive impairment seemed not influencing functional recovery, although further studies are required to appraise the actual role of cognitive impairment on the postoperative progression of patients.