Geriatric hip fracture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged >=65 years, regardless of gender; 2. Surgical procedures: total or partial hip arthroplasty, intramedullary nailing of the femur, or plate-and-screw fixation of the femur; 3. Ability to communicate effectively verbally; if unable to communicate, a family member who is highly familiar with the patient’s condition may respond on their behalf and complete the frailty assessment.
Exclusion criteria
Exclusion criteria: 1. Patients undergoing emergency surgery; 2. Polytrauma patients with significant organ damage; 3. Pathological fractures; 4. Patients with severe neurological or psychiatric disorders who have family members unable to cooperate; 5. Patients who received glucocorticoids within one week prior to hospital admission up to the time of postoperative sample collection; 6. Patients with acute infection at the time of admission.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative observation indicators (including anesthetic method, surgical procedure, duration of surgery, duration of anesthesia, intraoperative blood loss, intraoperative fluid administration, intraoperative blood transfusion, and whether vasopressors were used to maintain hemodynamic stability);Postoperative observation indicators (including postoperative PCA use, activities of daily living score, hospital length of stay, ICU stay duration, VAS pain score, and incidence of postoperative adverse events [e.g., wound infection, fracture, prosthesis loosening or dislocation, nerve injury, gastrointestinal dysfunction, cognitive impairment, respiratory dysfunction, thromboembolic events, and sleep disturbances]);Readmission and outcomes within 30 days postoperatively (cured/improved/deceased);Inflammatory markers (including IL-6, CRP, IL-10, GDF-15, etc.); | — |
Countries
China
Contacts
Hunan Xiangtan Central Hospital