Frailty and postoperative complications in elderly orthopedic patients
Conditions
Interventions
General Anesthesia Group:General Anesthesia
Regional/Spinal-Epidural Anesthesia Group:Spinal or Epidural Anesthesia
Sponsors
Taihe County Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age >= 65 years; 2. Planned for elective or sub-emergency (e.g., hip fracture hospitalized within 48 hours) major lower limb orthopedic surgery (including: hip/knee arthroplasty, femur/tibia internal fixation); 3. Patient or family member provides informed consent and signs the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Preoperative severe cognitive impairment (e.g., MMSE score = V or critically ill patients with expected survival <24 hours; 4. Severe hepatic or renal dysfunction (Child-Pugh C class or eGFR <15 mL/min/1.73m^2); 5. Participation in other clinical trials that may interfere with the results of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-day postoperative composite complication rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative length of stay;30-day all-cause readmission rate;30-day all-cause mortality rate;Time to first ambulation after surgery;Resting pain score; | — |
Countries
China
Contacts
Public ContactZhang Fangfang
Taihe County Hospital of Traditional Chinese Medicine
Outcome results
None listed