Actively Recruiting

Age: 65Years +
All Genders
NCT07512752

Preoperative Distress and Postoperative Delirium in Elderly Patients Undergoing Major Orthopedic Surgery

Led by Elazıg Fethi Sekin Sehir Hastanesi · Updated on 2026-04-06

150

Participants Needed

1

Research Sites

16 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Postoperative delirium is a common and serious complication in elderly patients undergoing major orthopedic surgery and is associated with increased morbidity, prolonged hospital stay, and higher healthcare costs. Preoperative psychological distress has been suggested as a potential risk factor influencing postoperative outcomes; however, its relationship with delirium and other clinical outcomes remains insufficiently explored. This prospective observational study aims to investigate the association between preoperative distress levels and postoperative delirium, pain intensity, and length of hospital stay in elderly patients undergoing major orthopedic surgery. Preoperative distress will be assessed using validated tools, and postoperative outcomes including delirium incidence, pain scores, and hospital stay duration will be recorded and analyzed. The findings of this study are expected to contribute to improved perioperative risk stratification and may support the development of targeted interventions to reduce postoperative complications in this vulnerable patient population.

CONDITIONS

Official Title

Preoperative Distress and Postoperative Delirium in Elderly Patients Undergoing Major Orthopedic Surgery

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age �3E�3D 65 years
  • Undergoing major orthopedic surgery including hip fracture surgery
  • Undergoing primary or revision hip arthroplasty
  • Undergoing primary knee arthroplasty
  • Able to provide informed consent or have a legally authorized representative available
Not Eligible

You will not qualify if you...

  • Known diagnosis of severe dementia or significant cognitive impairment
  • Presence of preoperative delirium or active diagnosis of delirium
  • Severe hearing or visual impairment preventing effective communication
  • History of intracranial surgery or neurological diseases increasing delirium risk (e.g., advanced Parkinson's disease, severe stroke sequelae)
  • Planned postoperative sedation in the intensive care unit

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Fethi Sekin City Hospital

Elâzığ, Turkey (Türkiye)

Actively Recruiting

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Research Team

S

Sevim ŞENOL KARATAŞ, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Preoperative Distress and Postoperative Delirium in Elderly Patients Undergoing Major Orthopedic Surgery | DecenTrialz