Contionuous Perioperative Hemoglobin and Perfusion Index Measurements in Elderly Patients With Hip Fracture and Post Operative Delirium
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Delay in diagnosting perioperative anemia
研究概览
简要总结
The overall aim of the study is to investigate the time difference in the diagnosing of anemia among elderly with hip fracture, between measurements with standard blood samples and non-invasive SpHb-measuring. Another aim is to investigate the relationship between perfusion index and prolong perioperative anemia and the potential impact on perioperative complications.
详细描述
Immediately after admission and diagnosis of a hip fracture the patients will be monitored with Masimo SpHb. The Patients will be continuously measured until the third day after surgery. The Monitors Hb and PI data but not the SpO2% will be blinded to all participating healthcare personnel.The first three postopertive days the patiens will daily be examined to determined it they have developed delirium.
All perioperativ complications in that period will be monitored.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 65 years
- •Primary hip fracture requiring surgery
- •Patients able to give informed consent
- •Patients who are able to undergo the Hospitals standardized fast track
- •Perioperative care regimen for hip fracture including are pre operative placed epidural
排除标准
- •Patients who can not co-operate to have a sensor attach to the finger continuous for 4 days.
- •Patients who has allergy to the bandage that is used to attach the sensor.
结局指标
主要结局
Delay in diagnosting perioperative anemia
时间窗: From admission up to and including the 3 postopertive day
Description of lag time between detection of anaemia by SpHb and Hb by blood sampling/transfusion
Perfusion index, periopertive anemia and delirium
时间窗: From admission up to and including the 3 postopertive day
The relation between average perioperative perfusion index, cumulated perioperative anemia over time and patient outcome in the form of medical complications, mortality, delirium and LOS.
次要结局
- Perfusion index as a predictor of early warning score (EWS)(From admission up to and including the 3 postopertive day)
研究者
Christopher Clemmesen
MD
Hvidovre University Hospital