The Effects of Anesthesia Type on the Prognosis of Hip Fracture Surgery on Elderly Patients

Recruiting

• Conditions: Postoperative Complications; Postoperative Mortality
• Interventions: Procedure: Anesthesia type

• Registration Number: NCT03116490
• Lead Sponsor: Wenzhou Medical University

Brief Summary

The aim of this study is to figure out whether anesthesia type have an influence on the prognosis of hip fracture surgery.30-day mortality and morbidity after the surgery are our main observational index,and according to literature and our experience,regional anesthesia may have a better prognosis after hip fracture surgery compared with general anesthesia.

Detailed Description

Hip fracture is a common disease among elderly people,and has a high mortality and morbidity.But,seldom practice can be done to improve this condition.For a long time,whether anesthesia type could influence the prognosis after surgery is controversial.Several studies have confirmed regional anesthesia may be better for patients for its fewer complications.But most studies are retrospective,and information may be less convincing .Besides,as a matter of fact,patients of different anesthesia type may have different status,so,a scoring system may be need for comparing the status of patients of different groups.

Our study is a prospective observational trial.Patients needing hip fracture surgery are divided into two groups according to the anesthesia type during surgery:Regional Anesthesia group(RA),General Anesthesia group(GA).To evaluate the status of patients before surgery,we use Orthopedic POSSUM scoring system.It consists of 12 physiological factors and 6 operative severity factors.Then,we will observe outcome of the two groups and record every complication after surgery.Finally,the initial and adjusted morbidity and mortality according to Orthopedic POSSUM scoring system of the two groups are compared.

Study Timeline

• Study First Submitted: 2017-01-14
• Study First Submitted QC: 2017-04-14
• Study First Posted: 2017-04-17
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-23
• Last Update Posted: 2024-07-24
• Study Start: 2026-01-16
• Primary Completion: 2026-12
• Study Completion: 2028-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

• Patients with hip fracture;
• Need surgery;
• Anesthesia type is regional anesthesia or general anesthesia;
• Age≥60 years.

Exclusion Criteria

• Choosing conservative treatment;
• Other types of anesthesia or without anesthesia.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
group RA	Anesthesia type	the anesthesia type for patients with hip fracture surgery is regional anesthesia
group GA	Anesthesia type	the anesthesia type for patients with hip fracture surgery is general anesthesia

Primary Outcome Measures

Name	Time	Method
Mortality	30-day after surgery

Secondary Outcome Measures

Name	Time	Method
Morbidity	30-day after surgery
VAS pain score	everyday after surgery,record for 7 days

Trial Locations

Locations (1)

WenZhou Medical University Second Affiliated Hospital; 🇨🇳 WenZhou, Zhejiang, China