Frailty
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 60 years; 2. Undergoing elective posterior lumbar decompression and interbody fusion with internal fixation under general anesthesia with endotracheal intubation; 3. American Society of Anesthesiologists (ASA) physical status classification I–III; 4. Written informed consent obtained from the patient.
Exclusion criteria
Exclusion criteria: 1. Long-term use of opioid analgesics before surgery; 2. History of psychiatric or neurological diseases, such as Parkinson's disease, dementia, schizophrenia, or depression; 3. Severe liver or kidney dysfunction; 4. Planned delayed extubation; 5. Communication difficulties.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative intravenous morphine milligram equivalents of opioids within 48 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cumulative intravenous morphine milligram equivalents of opioids within 24 hours postoperatively;Cumulative intravenous morphine milligram equivalents of opioids within 7 days postoperatively;Cumulative intravenous morphine milligram equivalents of opioids within 1 month postoperatively;Cumulative intravenous morphine milligram equivalents of opioids within 2 month postoperatively;Cumulative intravenous morphine milligram equivalents of opioids within 3 month postoperatively;Cumulative intravenous morphine milligram equivalents of opioids within 4 month postoperatively;Postoperative pain score at 2 hours;Postoperative pain score at 6 hours;Postoperative pain score at 12 hours;Postoperative pain score at 24 hours;Postoperative pain score at 48 hours;Opioid-related adverse events;Charlson Comorbidity Index;Length of Hospital Stay; | — |
Countries
China
Contacts
The First Affiliated Hospital of Chongqing Medical University