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Is the CRP-Albumin-Lymphocyte (CALLY) Index Effective in Predicting Postoperative Delirium in Geriatric Patients Undergoing Hip Fracture Surgery

Recruitingn/aAges 65 Years - anyAllAnkara Ataturk Sanatorium Training and Research H…
NCT06818409 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Introduction: Postoperative delirium (POD) is a common complication in elderly surgical patients and is significantly associated with prolonged hospital stays, cognitive impairment, functional decline, and increased mortality rates within 6 to 12 months. Its incidence has been reported to range between 10% and 70%, depending on the diagnostic criteria used, the population studied, and the type of surgical procedure performed. The incidence is particularly higher following vascular, cardiac, and hip fracture surgeries. According to the 2024 updated guidelines by the European Society of Anaesthesiology and Intensive Care (ESAIC), POD should be screened at least once daily for a minimum of three days, beginning in the post-anesthesia recovery unit, based on the DSM-5 criteria. POD is a complex syndrome associated with various phenotypes and is likely the result of a combination of neuroinf

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients aged 65 years and older who undergo surgery for femoral neck or intertrochanteric fractures Exclusion Criteria: * Patients with preoperative delirium * Patients with preoperative dementia * Patients with pathological fractures * Patients with open fractures * Patients with systemic or localized infections in the fracture region during the preoperative period * Patients with multiple trauma * Patients with a BMI \<18.5 or ≥35 * Patients with chronic organ failure * Patients with advanced-stage cancer
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What it tests

  • The Diagnostic and Statistical Manual of Mental Disorders (DSM) - 5 criteria for delirium diagnosis
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Where

1 site
University of Health Sciences, Ankara Atatürk Sanatorium Training and Research Hospital
Ankara, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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