The Comparison of Cognitive Function, Symptoms of Depression and Anxiety, and Quality of Life in Patients After Hip Fracture Surgery Under General or Regional Anesthesia
试验速览
- 阶段
- 不适用
- 入组人数
- 140
- 主要终点
- change in cognition
研究概览
简要总结
Postoperative cognitive dysfunction is a relatively common in elderly patients after hip surgery, but exact mechanism of its onset is still unclear as well as contributing factors. There is also increased incidence of depression and anxiety. Both affect the recovery after surgery, slow it down and reduce the quality of life. Patients will be divided into two groups, operated under regional anaesthesia and operated under general anaesthesia, and monitored after surgery. Patients will be tested before and after surgery to evaluate postoperative cognitive deficits, depression and anxiety scale and health-related quality of life questionnaire.
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
- 60 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients intended for surgical treatment of hip fractures ≥ 60 years
- •Patients who are category ASA I to ASA III will be included in research
- •Sufficient cognitive ability
- •Only those patients who have agreed to be participants in the research and have signed the consent for participation and informed consent.
排除标准
- •Patients who refused to participate in the survey and who did not sign informed consent
- •Patients with ASA IV or more
- •Patients under 60 years
- •Severe psychiatric disorders involving the use of psychopharmaceuticals back three months
- •All patients who have other fractures in addition to hip fractures
- •Polytrauma
- •All patients scheduled for more than one surgical intervention during the procedure, or within the next 8 weeks
- •Patients who have been diagnosed with dementia, and / or are receiving anti-dementia drugs
结局指标
主要结局
change in cognition
时间窗: preoperatively/postoperative follow up 2 months
MoCA scale (Montreal Cognitive Assessment), F-A-S test
change in anxiety and depression
时间窗: preoperatively/postoperative follow up 2 months
The HAD Scale (The Hospital Anxiety and Depression Scale)
change in quality of life
时间窗: preoperatively/postoperative follow up 2 months
EQ-5D-5L Questionnaire
次要结局
未报告次要终点
研究者
Tea Fabijanić, MD
MD
University of Zagreb
