Geriatric Hip Fracture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Age >=65 years. (2)American Society of Anesthesiologists (ASA) physical status classification of I to III. (3)Scheduled for surgical treatment due to hip fracture (including conventional procedures such as hip arthroplasty or proximal femoral intramedullary nailing). (4)Able to cooperate with dynamic electrocardiogram (ECG) monitoringupon hospital admission, with a Phase-Rectified Signal Averaging (PRSA) signal quality >=90%. (5)Voluntary participation and provision of signed informed consent.
Exclusion criteria
Exclusion criteria: (1)Presence of persistent atrial fibrillation, frequent ventricular premature beats, and post-pacemaker implantation. (2)Diagnosis of diabetic autonomic neuropathy. (3)Continuous use of anticholinergic medications (e.g., Atropine) for >= 48 hours. (4)Severe cardiopulmonary insufficiency. (5)Uncorrectable coagulation disorders. (6)Uncorrectable coagulation disorders. (7)Diagnosis of terminal malignancy with a life expectancy of < 6 months. (8)Presence of neurological diseases affecting the judgment of autonomic nerve function (e.g., dementia, advanced Parkinson's disease, severe stroke, etc). (9)Refusal to sign the informed consent form.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1-year all-cause mortality after surgery;Incidence of major adverse cardiovascular events within 30 days postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hospitalization period;Harris Hip Score;Barthel Index; | — |
Countries
China
Contacts
Foshan Hospital of Traditional Chinese Medicine