Relationship Between Fracture Type and Preoperative Nutritional Status with Postoperative Pain

Launched by ANKARA ATATURK SANATORIUM TRAINING AND RESEARCH HOSPITAL · Jan 15, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at how the type of hip fracture, a person's nutritional status before surgery, and the type of surgery they receive affect pain levels and recovery outcomes in older adults (aged 65 and older) who need hip surgery. Researchers want to find out if certain nutritional screening tools can help predict how much pain patients feel after surgery and how well they recover. This is important because many elderly patients experience significant pain after hip surgeries, and understanding their nutritional status might help improve pain management and overall recovery.

To participate in this trial, individuals must be over 65 years old, be having hip surgery with spinal anesthesia, and provide informed consent. Those with certain health conditions, such as severe chronic pain or specific systemic diseases, cannot participate. Participants can expect to undergo assessments related to their nutritional health and will be monitored for pain levels and recovery during their hospital stay. This study aims to improve care and outcomes for elderly patients undergoing hip surgery by focusing on their unique needs.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 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
• Exclusion Criteria:
• • 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