Study of Anxiety and Frailty in Patients 65 and Older Undergoing Planned Hip Replacement Surgery

What this Trial Is About

Researchers are investigating the relationship between preoperative anxiety levels and frailty scores in elderly patients aged 65 years and older who are scheduled for elective hip replacement surgery. Frailty is a condition marked by decreased physical reserve across multiple body systems, making individuals more vulnerable to stress. Anxiety is a common psychiatric condition that may impact surgical outcomes, especially in older patients. This prospective observational study seeks to better understand how these factors interact before surgery. The study involves assessing frailty using the FRAIL Scale, which measures fatigue, resistance, ambulation, illness, and weight loss, and anxiety using the Hamilton Anxiety Rating Scale HAM-A. Eligible participants will be evaluated at three visits the day of hospital admission for routine preoperative assessments, 24 hours before surgery for anxiety and frailty scoring plus sociodemographic data collection, and the day of discharge for postoperative monitoring. Participants are grouped based on their frailty scores into robust, pre-frail, and frail categories. During the study, researchers will collect medical history, physical status, hemodynamic and laboratory data, and record hospital stay length and ICU admission rates. The main goal is to examine the association between frailty and anxiety levels before surgery. Secondary measurements include the prevalence of frailty and anxiety, and their correlations with hospital stay duration, ICU admissions, and in-hospital mortality. Data will be securely stored and analyzed to identify relevant relationships over the course of the hospitalization, which may last up to two weeks.

The Relationship Between Preoperative Anxiety Level and Frailty Score in Elderly Patients Scheduled for Elective Hip Arthroplasty: A Prospective Observational Study