Hip fracture Postoperative cognitive dysfunction Activities of daily living impairment Elderly patients Hip Fractures Anesthesia, General Anesthesia, Spinal Postoperative Cognitive Complications Activities of Daily Living Aged
Conditions
Interventions
Patients undergoing hip fracture surgery under spinal anesthesia. Postoperative cognitive function and activities of daily living were evaluated.,Patients undergoing hip fracture surgery under general
Treatment,Treatment
Spinal anesthesia group,General anesthesia group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
70 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age 70 years or older 2. Educational level primary school or above 3. Basic verbal communication ability 4. Expected to complete postoperative follow-up 5. Meeting the indications for hip fracture surgery
Exclusion criteria
Exclusion criteria: 1. Contraindications to general or spinal anesthesia 2. Severe visual or hearing impairment 3. History of severe cerebrovascular disease 4. Diagnosed central nervous system diseases 5. Psychiatric disorders 6. Long-term use of sedatives or antidepressants 7. Requiring emergency surgery 8. Intraoperative severe hypoxemia 9. Hemodynamic instability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative cognitive function 30 days after surgery Assessed using the Montreal Cognitive Assessment (MoCA) scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Activities of daily living 30 days after surgery Assessed using the Activities of Daily Living (ADL) scale,Postoperative complications 30 days after surgery Incidence of postoperative complications (e.g., infection, delirium),Anesthesia duration During surgery Total duration of anesthesia recorded in minutes,Hospital length of stay At hospital discharge Total number of days from admission to discharge | — |
Countries
China
Contacts
Public ContactJu Dong
The Third People's Hospital of Xining
Outcome results
None listed