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RecruitingNCT07867899DEXLIRUpdated Oct 9, 2026

Dexmedetomidine for Prevention of Delirium After Hip Fracture Surgery

An observational study in Delirium - Postoperative, Delirium Prevention and Dexmedetomidine, sponsored by Peter Gaarsdal Uhrbrand. Recruiting at 1 site in Denmark. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Peter Gaarsdal Uhrbrand · Observational

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
242
Ages
65 Years and older
Sex
All
01

Study summary

Postoperative delirium is common after hip fracture surgery and is associated with delayed recovery and serious postoperative complications. Patients with hip fracture are often elderly, acutely admitted, in pain, and have multiple comorbidities, all of which increase the risk of delirium.

This study evaluates whether implementation of intraoperative dexmedetomidine prophylaxis reduces postoperative delirium in patients undergoing hip fracture surgery. The study will compare patients treated before and after implementation of dexmedetomidine prophylaxis.

02

Conditions studied

  • Delirium - Postoperative
  • Delirium Prevention
  • Dexmedetomidine
  • Dexmedetomidine Infusion

Keywords

  • Hip fracture
  • Surgery
  • Postoperative
  • Dexmedetomidine
  • Delirium prevention
  • Pre-post intervention
  • Geriatric anesthesia
03

In context

Emergence Delirium

788 studies on the registry are indexed under Emergence Delirium; 250 are open to participants now.

This study's planned enrollment of 242 is above the median of 154 across 288 observational studies indexed under Emergence Delirium.

Browse Emergence Delirium studies →

Lead sponsor

This is the only study on the registry with Peter Gaarsdal Uhrbrand as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Study participants will be selected from patients undergoing surgery for hip fracture at the Department of Orthopedics, Aarhus University Hospital, Denmark. The study population will include patients aged 65 years or older undergoing operative treatment in either general or spinal anesthesia. Patients will be identified consecutively during the predefined pre-implementation and post-implementation study periods. In the post-implementation period, eligible patients will receive perioperative dexmedetomidine prophylaxis unless contraindications or other clinical reasons for omission are present. Patients with severe liver failure, acute neurological conditions, or second- or third-degree atrioventricular block without a pacemaker will not receive dexmedetomidine

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients at least 65 years of age undergoing surgery for hip fracture in general or spinal anesthesia
  • Treated during the defined pre- or post-implementation period

Exclusion criteria

Exclusion Criteria:

  • Known hypersensitivity to dexmedetomidine
  • Second- or third-degree AV block without pacemaker
  • Acute cerebral conditions with potentially impaired cerebral autoregulation
  • Acute or chronic liver failure
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
242 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pre-implementation

    Patients undergoing hip fracture surgery before implementation of intraoperative dexmedetomidine prophylaxis.

  • Post-implementation / Dexmedetomidine prophylaxis

    Patients undergoing hip fracture surgery after implementation of intraoperative dexmedetomidine prophylaxis. Dexmedetomidine prophylaxis is initiated after induction of general anesthesia or after spinal anesthesia has been established. Patients receive dexmedetomidine bolus 0.5 µg/kg ideal body weight followed by infusion 0.5 µg/kg/hour. The infusion is discontinued at the end of surgery.

06

What researchers measure

Primary outcomes

  1. Any postoperative delirium within the first 3 days after surgery

    The proportion of patients with at least one positive CAM-score on postoperative day 1-3 (yes/no).

    Time frame: Postoperative day 1-3

Secondary outcomes

  1. Any postoperative delirium within the first 7 days after surgery

    The proportion of patients with at least one positive CAM-score on postoperative day 1-7 (yes/no).

    Time frame: Postoperative day 1-7

  2. Maximum severity of postoperative delirium

    Maximum severity of postoperative delirium based on CAM score (mild, moderate, severe)

    Time frame: Postoperative day 1-7

  3. Postoperative pain in the PACU

    NRS (0-10) at rest and during mobilisation in the PACU

    Time frame: PACU stay

  4. Postoperative opioid use in the PACU

    Cumulative opioid consumption during the PACU stay (oral morphine milligram equivalents)

    Time frame: PACU stay

  5. Need for antipsychotic medication

    Any new use of haloperidol, olanzapine, risperidone, quetiapine or similar medication (yes/no)

    Time frame: Postoperative day 1-7

  6. Intraoperative treatment with moderate-dose vasopressors

    Intraoperative dose of norepinephrine \> 0,1ug/kg/min (yes/no)

    Time frame: Intraoperative period

  7. Perioperative treatment of bradycardia

    Perioperative treatment of bradycardia with atropin (yes/no)

    Time frame: Intraoperative period and PACU stay

  8. Postoperative vasopressor treatment

    Any vasopressor use in the PACU (yes/no)

    Time frame: PACU stay

  9. Length of stay in the PACU

    Length of stay in the PACU (min)

    Time frame: PACU stay

07

Study locations

1 of 1 sites recruiting
  • Department of Anesthesiology, Aarhus University Hospital
    Aarhus, 8200, Denmark
    • Peter G. Uhrbrand, MD, PhD · Contact · petuhr@rm.dk · 004530615082
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — The project is not approved for sharing individual participant data.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Mar 2027, 5 months after the start.

Of 187 non-industry observational studies under Emergence Delirium, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's planned 5 months is below that.

Counting every sponsor, half of 188 studies reached it within 20 months; a quarter within 10 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 23, 2026
First posted
Oct 9, 2026
StartActual
Oct 1, 2026
Primary completionEst.
Mar 31, 2027
CompletionEst.
Apr 14, 2027
Last update
Oct 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07867899
Lead sponsor
Peter Gaarsdal Uhrbrand
Responsible party
Peter Gaarsdal Uhrbrand (Principal and sponsor-investigator, MD, PhD, Aarhus University Hospital) — Sponsor-investigator
First posted
Oct 9, 2026
Start date
Oct 1, 2026
Primary completion
Mar 31, 2027 (estimated)
Completion
Apr 14, 2027 (estimated)
Last update
Oct 9, 2026

Study contacts

Peter G. Uhrbrand, MD, PhD
Contact
petuhr@rm.dk
+4530615082

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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