Status:

COMPLETED

A Trial To Assess Risk of Delirium in Older Adults Undergoing Hip Fracture Surgery With Spinal or General Anesthesia

Lead Sponsor:

University of Pennsylvania

Conditions:

Postoperative Complications

Hip Fracture

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This pilot project will address the gaps in knowledge regarding the effect of anesthetic technique on the risk of delirium through an adequately-powered trial employing standardized regimens for treat...

Detailed Description

Objectives Overall objectives Overall Objectives Specific Aims 1. To compare the effect of spinal versus general anesthesia on rates of postoperative delirium after hip fracture surgery. We hypothesi...

Eligibility Criteria

Inclusion

  • Subject is aged 18 and older.
  • Subject is scheduled to undergo surgical treatment of an acute femoral neck or pertrochanteric hip fracture.
  • Subject can speak English
  • Subject has ability to sign informed consent

Exclusion

  • Subject has a pathological or periprosthetic fracture.
  • Subject has concurrent conditions anticipated at the time of admission to require surgical treatment (e.g. multiple trauma, acute cholecystitis).
  • Subject has severe cognitive impairment, as evidenced by a Montreal Cognitive Assessment Score (MOCA) of 15 or less.
  • Subject has clinical findings of delirium prior to surgery, as evidenced by a positive Confusion Assessment Method (CAM) evaluation;
  • Subject has contraindications to spinal anesthesia or volatile general anesthetics.

Key Trial Info

Start Date :

October 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2015

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT02190903

Start Date

October 1 2013

End Date

April 1 2015

Last Update

July 30 2018

Active Locations (1)

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Hosptial of the University of Pennsylvania

Philadelphia, Pennsylvania, United States, 19104