Postoperative delirium
Conditions
Interventions
active-rTMS group:Patients in the active-rTMS group received treatment using a magnetic therapy cap, with high-frequency rTMS (10Hz) delivered to the left dorsolateral prefrontal cortex through a TMS
sham-rTMS group:Patients in the sham-rTMS group were treated with a placebo magnetic therapy cap while maintaining identical parameters, which generated vibrations and sounds indistinguishable from th
Sponsors
The First Affiliated Hospital of Bengbu Medical College
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1.Scheduled for elective THA or TKA; 2.No gender restriction, aged 65-100 years; 3.Written informed consent obtained from both the patient and their legal surrogates; 4.Assessed as able to tolerate general anesthesia.
Exclusion criteria
Exclusion criteria: 1.Refusal to sign informed consent; 2.Pre-existing psychiatric disorders, psychological disorders, neurocognitive disorders, or history of central nervous system diseases; 3.Visual or hearing impairment, or communication difficulties; 4.Skull or scalp injuries; 5.Substance or alcohol abuse; 6.Metal implants, cardiac pacemaker implantation, cochlear implants; 7.Severe cardiac insufficiency (NYHA Class IV), abnormal liver function (Child-Pugh Class C), severe renal dysfunction (preoperative dialysis), or ASA classification = Class IV; 8.Other conditions deemed by the investigator or attending physician as unsuitable for study participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative delirium;Self-Rating Anxiety Scale;Self-Rating Depression Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Numerical Rating Scale; | — |
Countries
China
Contacts
Public ContactYang Zhang
The First Affiliated Hospital of Bengbu Medical College
Outcome results
None listed