Efficacy of Perioperative Anesthesia Care Bundle on Prognosis in Elderly Undergoing Hip Fracture Surgery
- Conditions
- AnesthesiaHip Fracture SurgeryNursing
- Interventions
- Procedure: New "guideline" anesthesia strategy team
- Registration Number
- NCT03429010
- Lead Sponsor
- Second Affiliated Hospital of Wenzhou Medical University
- 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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 300
- Patients ≥ 75 years old;
- Patients with hip fracture purely and surgical treatment is scheduled.
- Surgical treatment has been performed after entering hospital;
- Multiple trauma: multiple fractures; chest, abdomen, pelvis and sacral trauma; severe head injury, etc.
- Refuse to sign informed consent;
- Investigator thinks he/she is inappropriate to carry out this study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description New "guideline" New "guideline" anesthesia strategy team New "guideline" anesthesia strategy team (Group A)
- Primary Outcome Measures
Name Time Method Mortality 6 months after surgery Mortality in 6 months of postoperative
- Secondary Outcome Measures
Name Time Method 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.
MMSE Two days after surgery Cognitive function with Mini-Mental State Examination (MMSE)
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%
Hospital stay Up to discharge,an average of 2 weeks Length of time stay in hospital
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.
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
Cost Length of hospital stay,an average of 2 weeks Total cost in hospital and expenditure for anesthesia
Survival time up to one year after surgery Observed length of time after surgery to death within one year
Trial Locations
- Locations (1)
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
🇨🇳Wenzhou, Zhejiang, China