Hip Fracture SurgeriesGeriatric AssessmentFrailty at Older AdultsIntensive Care
Investigational drug(s) / intervention(s)
Routine Surgical and Anesthetic Mnagement.
Routine Surgical and Anesthetic Mnagement.: Since this is a retrospective record review, no new intervention is administered. The intervention name represents the standard surgical (arthroplasty or osteosynthesis) and anesthetic (general or spinal) management received by patients for hip fractures according to institutional protocols. The study analyzes the relationship between these routine clinical processes and preoperative ASA and CFS scores
Study summary
The aim of this retrospective study is to compare the efficacy of the American Society of Anesthesiologists (ASA) physical status classification and the Clinical Frailty Scale (CFS) in predicting postoperative intensive care unit (ICU) requirements in geriatric patients undergoing hip fracture surgery. The investigators will analyze medical records of patients aged 65 and older. The study will evaluate whether the CFS provides better predictive value for ICU admission compared to the traditional ASA score in this specific surgical population.
Eligibility
Sex
ALL
Min age
65 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:Age: Patients aged 65 years and older.
Diagnosis: Patients diagnosed with acute traumatic hip fracture, including femoral neck, intertrochanteric, or subtrochanteric fractures.
Surgical Intervention: Patients who have undergone or are scheduled for surgical treatment (e.g., arthroplasty, internal fixation/osteosynthesis) for hip fracture.
Data Integrity: Availability of complete electronic health records, including preoperative anesthesia evaluation forms and ASA physical status scores.
Functional Assessment: Presence of sufficient clinical and nursing documentation to retrospectively determine the Clinical Frailty Scale (CFS) score based on preoperative functional status.
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Exclusion Criteria:Pathological and Periprosthetic Fractures: Fractures resulting from bone metastases or those occurring around an existing prosthesis.
Multiple Trauma: Patients with concomitant major organ injuries or additional limb fractures that could impact clinical outcomes.
Conservative Management: Patients who did not undergo surgical intervention and were managed non-surgically.
Incomplete Data: Cases with missing ASA scores, laboratory results, or postoperative clinical follow-up data in the hospital records.
Insufficient Functional Documentation: Patients whose clinical or nursing notes are inadequate for retrospective determination of the Clinical Frailty Scale (CFS) score.
Patient Transfer: Patients transferred to another healthcare facility preoperatively or in the immediate postoperative period, leading to incomplete data follow-up.
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Primary outcome measure(s)
Postoperative Intensive Care Unit (ICU) Admission Requirement — Within 24 hours postoperatively Assessment of whether the patient required immediate postoperative admission to the intensive care unit due to clinical necessity, physiological instability, or the need for advanced monitoring.
Trial sites (1)
Facility
City
Region
Status
Abdurrahman yurtarslan onkoloji eğitim ve araştırma hastanesi
Ankara
Turkey (Türkiye)
More Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital trials in Turkey
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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