Anesthesia, Hip Fracture Surgery, Nursing
Conditions
Keywords
Anesthesia, Hip Fracture
Brief summary
This study is going to research the hypothesis that to strengthen the comprehensive treatment of perioperative anesthesia is possible to improve the prognosis of patients with hip fracture and reduce mortality. This is a randomized controlled pilot study aimed to elderly patients with hip fracture on one side and needing surgical treatment.
Detailed description
To evaluate the efficacy of perioperative anesthesia care bundle on prognosis in elderly undergoing hip fracture surgery; to assess the levels of compliance that current anesthesia management strategy of our hospital against the new guidelines; and to analyze the defects in the current anesthesia management strategy and collect data for further multi-center research, this single-center randomized controlled trial was conducted. The central stochastic system was adopted to determined the stratification factors by age, POSSUM score, whether there was tracheal intubation or laryngeal mask auxiliary ventilation. Therefore, there are two groups including the new version of guidelines anesthesia strategy group and existing anesthesia strategy group at a ratio of 1:1. The mortality is the primary indicator will be collected in 1,6,12 months after surgery. And VAS score, MMSE, length of hospital stay and so forth, which would be collected as the secondary indicators.
Interventions
PROCEDURENew guideline anesthesia strategy team
New guideline anesthesia strategy team
Sponsors
Second Affiliated Hospital of Wenzhou Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients ≥ 75 years old; 2. Patients with hip fracture purely and surgical treatment is scheduled.
Exclusion criteria
1. Surgical treatment has been performed after entering hospital; 2. Multiple trauma: multiple fractures; chest, abdomen, pelvis and sacral trauma; severe head injury, etc. 3. Refuse to sign informed consent; 4. Investigator thinks he/she is inappropriate to carry out this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 6 months after surgery | Mortality in 6 months of postoperative |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Score(VAS) | within two days after surgery | The intensity of postoperative pain using Visual Analogue Score(VAS), has a total score of 10 range from 0 to 10. Do higher values represent a severer pain. |
| Complications | post-operation to discharge, an average of 2 weeks | The incidence of postoperative complications |
| Death rate | Within 30 days and 1 year after surgery | Mortality for postoperative of 30 days and 1 year |
| Compliance score | Duration of hospital stay, an average of 2 weeks | The level of compliance of new guideline(from the ratio of (score:total score)), the ratio from 0% to 100% |
| Survival time | up to one year after surgery | Observed length of time after surgery to death within one year |
| Cost | Length of hospital stay,an average of 2 weeks | Total cost in hospital and expenditure for anesthesia |
| MMSE | Two days after surgery | Cognitive function with Mini-Mental State Examination (MMSE) |
| Satisfaction score | Two weeks before discharge | Overall satisfaction of patients, with a range of 0 to 5 points. 0 point represents not satisfied at all and 5 points mean greatly satisfied. |
| Hospital stay | Up to discharge,an average of 2 weeks | Length of time stay in hospital |
Countries
China
Outcome results
None listed