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Patients with acute hip fractures are old and vulnerable. With a majoriry classified as being ASA 3 or more. Frequently they receive spinal anesthesia perioperatively inducing hypotension. Even a short hypotensive period may induce postop cardiac T roponinT leakage as well as renal failure noted by Changes in Serum Creatinin or Cýstatin C This will be investigated and correlated to intraoperative hypotension as step one. Preliminary this will be followed by an intervention with vasopressor treatment perioperatively to preserve an adequte MABP
Patients with acute hip fractures are old and vulnerable. With a majoriry classified as being ASA 3 or more. Frequently they receive spinal anesthesia perioperatively inducing hypotension. Even a short hypotensive period may induce postop cardiac T roponinT leakage as awell as renal failure noted by Changes in S Creatinin or Cýstatin C This will be investigated and correlated to intraoperative hypotension as a step one. Preliminary this will be followed by an intervention with vasopressor treatment perioperatively to preserve an adequte MABP
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Serum Tropinin | Diagnostic Test | Blodsamples will be taken 4 times from preoperatively to 2 Days postoperatively |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | post surgery | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Serum concentrations of Troponin, NTproBNP, Creatinin and Cystatin C | Relations between values and mortality at 30 and 90 days | 90 days |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with an acute hip fracture classified as being ASA 3 or more
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| Name | Affiliation | Role |
|---|---|---|
| Bengt M Nellgard, MD PhD | SahlgrenskaUniversity Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska University Hospital | Mölndal | Västra Götaland County | 431 80 | Sweden |
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| D006620 | Hip Fractures |
| D051437 | Renal Insufficiency |
| D006335 | Heart Injuries |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
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Laboratory samples on Creatinin Cystatin C NTproBNP and Troponin T
| D014947 |
| Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D013898 | Thoracic Injuries |