Anesthesia and Perioperative Neurocognitive Disorders in the Elderly Patients Undergoing Hip Fracture Surgery Platform Trial (ANDES Platform Trial)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorSecond Affiliated Hospital of Wenzhou Medical University

About this trial

Anesthesia and perioperative Neurocognitive Disorders in the Elderly patients undergoing hip fracture Surgery platform trial (ANDES platform trial): A pragmatic multi-arm, adaptive, open label, multicenter randomized controlled platform trial to assess the effect of different enhance anesthesia technique in perioperative neurocognitive function, as compared to standard anesthesia care in the elderly patients undergoing hip fracture

Eligibility criteria

Qualifiers

Aged 65 years and older.

Patients with unilateral hip fracture (including femoral neck, femoral head, intertrochanteric and subtrochanteric fractures) are scheduled for surgical treatment.

American Society of Anesthesiologists (ASA) physical status IV or below.

The patients or family members provide written informed consent.

Disqualifiers

Patients with multiple trauma or fractures (excluding trauma that the researcher judges will not affect the patient's overall recovery, such as simple spinal compression fractures, mild soft tissue contusions, fractures of hands and feet, etc.);

Two or more anesthetic surgeries are required.

Petients with an obvious history of head trauma (such as loss of consciousness for more than 5 minutes, post-traumatic amnesia, etc.);

Patients who the researcher believes are unable to complete the assessment of primary outcome;

Trial design

Treatments tested in this trial

  • Nerve block+standard anesthesia
  • Intravenous lidocaine+standard anesthesia
  • Bupivacaine liposome
  • Ultrasound-guided nerve block

Treatment groups

1,860 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Second Affiliated Hospital of Wenzhou Medical University

Lead sponsor

Zhejiang Provincial People's Hospital

Collaborator

First Affiliated Hospital of Wenzhou Medical University

Collaborator

Ningbo No.2 Hospital

Collaborator

Ningbo No.6 Hospital

Collaborator

Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University

Collaborator

Taizhou Hospital

Collaborator

Affiliated Wenling Hospital of Wenzhou Medical University

Collaborator

Lishui Country People's Hospital

Collaborator

The Fifth Hospital Affiliated to Wenzhou Medical University/ Lishui Central Hospital

Collaborator

Jinhua Municipal Central Hospital

Collaborator

Dongyang People's Hospital

Collaborator

People's Hospital of Quzhou

Collaborator