An interventional study of New "guideline" anesthesia strategy team in Anesthesia, Hip Fracture Surgery and Nursing, sponsored by Second Affiliated Hospital of Wenzhou Medical University. Status unknown at 1 site in China. Open to participants aged 75 Years and older. Per ClinicalTrials.gov, last updated 2019-09-25.
Sponsored by Second Affiliated Hospital of Wenzhou Medical University · Not applicable, Interventional, and Treatment
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.
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.
Exclusion Criteria:
New "guideline" anesthesia strategy team (Group A)
Procedure: New "guideline" anesthesia strategy team
Current anesthesia strategy team (Group B)
New "guideline" anesthesia strategy team
Mortality
Mortality in 6 months of postoperative
Time frame: 6 months after surgery
Visual Analogue Score(VAS)
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.
Time frame: within two days after surgery
Complications
The incidence of postoperative complications
Time frame: post-operation to discharge, an average of 2 weeks
Death rate
Mortality for postoperative of 30 days and 1 year
Time frame: Within 30 days and 1 year after surgery
Survival time
Observed length of time after surgery to death within one year
Time frame: up to one year after surgery
Compliance score
The level of compliance of new "guideline"(from the ratio of (score:total score)), the ratio from 0% to 100%
Time frame: Duration of hospital stay, an average of 2 weeks
Hospital stay
Length of time stay in hospital
Time frame: Up to discharge,an average of 2 weeks
Cost
Total cost in hospital and expenditure for anesthesia
Time frame: Length of hospital stay,an average of 2 weeks
MMSE
Cognitive function with Mini-Mental State Examination (MMSE)
Time frame: Two days after surgery
Satisfaction score
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.
Time frame: Two weeks before discharge
Documents are hosted by the registry — open the source record to download them.
This study is status unknown, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Second Affiliated Hospital of Wenzhou Medical University