postoperative delirium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 65 years; 2. BMI 18.5-29.9; 3. ASA class I-III; 4. Normal preoperative cognitive function (China is still a developing country, with a large elderly population that has not received formal education. Especially in this study, the enrolled subjects are elderly patients, with many having no formal education. Therefore, according to relevant literature, an MMSE score >17 is used); 5. Patients scheduled for hip fracture surgery under general anesthesia; 6. Patients receiving postoperative patient-controlled intravenous analgesia (PCIA); 7. Able to read and write, and capable of signing the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Preoperative Mini-Mental State Examination (MMSE) score <= 17; 2. History of severe psychiatric or neurological disorders before surgery; 3. Unable to communicate before surgery due to cognitive or language impairments; 4. History of drug or psychotropic substance abuse before surgery; 5. Allergy to Oxycodone or Sufentanil; 6. Severe visual or hearing impairment; 7. Liver or kidney dysfunction or patients on dialysis; 8. Presence of severe cardiovascular, respiratory, or autonomic nervous system disorders; 9. Contraindications to nerve block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative delirium from postoperative days 1 to 7.; | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS pain score and postoperative sedation assessed by the RASS scale.;Serum inflammatory markers: IL-6, TNF-a, CRP levels.;The time from the first press of the analgesic pump to the administration of the loading dose, the number of PCA presses, and the rescue analgesic drugs and their consumption.;Incidence of adverse reactions;Postoperative hospital stay, incidence of complications during hospitalization and within 30 days after surgery;QoR-15 score;Postoperative sleep PSQI score; | — |
Countries
China
Contacts
Henan Provincial People's Hospita,medical