Actively Recruiting

Age: 65Years +
All Genders
ID06784089

Relationship Between Fracture Type and Preoperative Nutritional Status with Postoperative Pain and Prognosis in Geriatric Hip Surgery

Led by Ankara Ataturk Sanatorium Training and Research Hospital · Updated on 2025-02-12

95

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

The trial investigates the relationship between fracture type, preoperative nutritional status, and postoperative pain and prognosis in geriatric patients undergoing hip surgery. It focuses on patients over 65 years old, who often face malnutrition and other risk factors affecting surgical outcomes. The study aims to evaluate which nutritional screening tools best predict postoperative pain, complications, and hospital stay in this population. Participants are geriatric patients undergoing hip surgery due to fractures. The study observes patients receiving standard anesthesia and analgesia protocols, recording data such as fracture type, surgery type, nutritional risk scores (NRS-2002, GNRI, MNA-SF, PNI), blood tests, pain levels using a visual analog scale over 24 hours, and complications. The observational design means no experimental treatments are given; patients are monitored prospectively. During the study, patients' nutritional status, pain levels at various postoperative times, complications, and hospital stay length are assessed. Data on demographics, comorbidities, surgery duration, and analgesic side effects are also collected. Researchers aim to understand how nutritional status affects pain and recovery, with the study ending by December 2025. Participants' routine care continues throughout, with informed consent and follow-up forms used for data collection.

CONDITIONS

Brief Title

Relationship Between Fracture Type and Preoperative Nutritional Status with Postoperative Pain

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients undergoing hip surgery
  • Patients with informed consent
  • Patients over the age of 65
  • Patients undergoing surgery with spinal anesthesia
  • Patients evaluated in the ASA (American Society of Anesthesiologist) 1-2-3 category
  • Those with a body mass index (BMI) between 18-35
Not Eligible

You will not qualify if you...

  • Patients with ASA 4 and above
  • Patients under the age of 65
  • Those with a BMI below 18 and above 35
  • Patients with systemic inflammatory diseases
  • Patients using continuous anti-inflammatory/analgesic drugs
  • Patients with chronic pain before surgery
  • Those with pathological fractures
  • Multiple traumas
  • Those with end-stage disease (malignancy)
  • Severe renal failure, gastrointestinal ulceration or severe asthma that prevents the use of standard analgesia protocol
  • Patients who have previously had hip surgery on the same side
  • Patients who want to have surgery with general anesthesia
  • Patients who need general anesthesia in addition to spinal anesthesia
  • Those with a history of Pulmonary Thromboembolism

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Up to 24 hours after surgery

Participants undergo hip surgery with spinal anesthesia followed by immediate postoperative care including routine anesthesia and analgesia protocols. Postoperative pain is evaluated at multiple time points within 24 hours.

1 surgery day with pain assessments at 1, 2, 4, 8, 16, and 24 hours postoperatively

Post-operative Follow-up

Duration - Until hospital discharge

Participants are monitored until hospital discharge for complications, additional analgesic treatments, side effects, and patient satisfaction. Preoperative nutritional status and other health parameters are recorded.

Visits as needed during hospital stay

Trial Site Locations

Total: 1 location

1

Ankara Atatürk Sanatorium Training and Research Hospital

Ankara, Turkey (Türkiye), 6280

Actively Recruiting

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Research Team

F

Ferudun Ertan

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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