Comparing Regional and General Anesthesia in Hip Fracture Surgery for Patients 60 and Older

What this Trial Is About

Hip fractures are common among elderly people and often lead to high rates of complications and death. Researchers are studying whether the type of anesthesia used during hip fracture surgery affects recovery outcomes. The main focus is on observing death and complications within 30 days after surgery, as previous studies suggest that regional anesthesia may result in better outcomes than general anesthesia, but evidence remains inconclusive. This study is a prospective observational trial where patients aged 60 and older who need hip fracture surgery are grouped based on the anesthesia type they receive regional anesthesia or general anesthesia. Regional anesthesia includes epidural, spinal, combined spinal and epidural anesthesia, or nerve block, while general anesthesia may be combined with peripheral nerve blockade or spinalepidural anesthesia or used alone. Researchers use the Orthopedic POSSUM scoring system before surgery to assess patients health status and will monitor complications and outcomes after surgery. Participants will be followed for 30 days after surgery to record mortality and morbidity rates, along with daily pain scores for seven days. Data on complications and patient status will be collected and compared between the two anesthesia groups, adjusting for initial health differences using the scoring system. The study aims to provide clearer evidence on how anesthesia type influences recovery after hip fracture surgery in older adults.

The Effects of Anesthesia Type on the Prognosis of Hip Fracture Surgery on Elderly Patients