Contionuous Perioperative Hemoglobin and Perfusion Index Measurements in Elderly Patients With Hip Fracture and Post Operative Delirium
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anemia
- Sponsor
- Hvidovre University Hospital
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Delay in diagnosting perioperative anemia
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Christopher Clemmesen
MD
Hvidovre University Hospital
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Delay in diagnosting perioperative anemia
Time Frame: 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
Time Frame: 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.
Secondary Outcomes
- Perfusion index as a predictor of early warning score (EWS)(From admission up to and including the 3 postopertive day)