The Presence of Pre-Alzheimers/Alzheimers Disease (AD) and Neuromarkers Related to Morbidity/Mortality in Patients With Acute Hip Fractures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Alzheimers Disease
- Sponsor
- Sahlgrenska University Hospital, Sweden
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Mortality and morbidity
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The investigators explore the presence of AD factors beta-amyloid and tau in CSF and plasma to verify AD diagnosis in patients with acute hip fracture. Clinical dementia test is performed prior to operation. Blood samples and CSF samples are collected at surgery and blood samples are collected postoperatively at intervals. Mortality is assessed at 30 days, 3 months and 1 year. Morbidity is assessed at , 3 months and >1 year. Neuromarkers specifically addressing the inflammatory component are to be analyzed and correlated to outcome together with AD markers, as above.
Detailed Description
The hypotheses explored in this investigation is that patients being pre-AD or having AD have worse prognosis following an acute hip fracture. This has been demonstrated in retrospective studies. In this study we admit all patients with a hip fracture planned tro receive a spinal anesthesia. Our golden standard of anesthesia in this patient cohort. Preoperatively Clinical Dementia Score is assessed after study inclosure. At the performance of the spinal dosage is standardized. Prior to giving this 5 ml of CSF is collected and blood is collected. Blood is then collected at intervals up until day 3 postoperatively. We plan to analyze beta-amyloid and tau in CSF and plasma to verify AD diagnosis in patients with acute hip fracture. Mortality is assessed at 30 days, 3 months and 1 year. Morbidity is assessed at, 3 months and \>1 year. Neuromarkers specifically addressing the inflammatory component are to be analyzed and correlated to outcome together with AD markers, as above.
Investigators
Bengt Nellgard
Associate professor/MD/PhD
Sahlgrenska University Hospital, Sweden
Eligibility Criteria
Inclusion Criteria
- •Hip fracture with a planed spinal anesthesia
Exclusion Criteria
- •Not receiving a spinal anesthesia i.e. no CSF is available
Outcomes
Primary Outcomes
Mortality and morbidity
Time Frame: 1year
interview by phone and death registration