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The FRAIL scale will be applied to patients at the preoperative visit. According to the FRAIL Scale, patients will be divided into 3 groups as Non-frail (Group I), pre-frail (Group II) and frail (Group III). After routine preoperative preparation and monitoring, patients will be given spinal anesthesia. Demographic data and intraoperative data of the patients will be recorded. Patients will be transferred to the post-operational post-operative care unit (PACU) and patient-controlled analgesia (PCA) will be applied to each patient with a standard protocol. In the postoperative period, the need for analgesics will be recorded for 24 hours, and if additional analgesics are needed, they will be recorded. Pain scores of the patients will be evaluated for 24 hours.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-frail | Active Comparator | FRAIL scale= 0 |
|
| Pre_frail | Active Comparator | FRAIL scale= 1-2 |
|
| Frail | Active Comparator | FRAIL scale >2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient-controlled analgesia pump (PCA) | Device | Each patient will receive a PCA pump with intravenous (i.v.) morphine. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Opioid consumption | Total opioid consumption (24 hours) | Postoperative 24th hour |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analog pain scores (VAS) | VAS scores will evaluate at rest and during 45° active knee flexion | 6,12 and 24 hours |
| Nausea and vomiting questionnaire | Postoperative nausea and vomiting will be evaluated by asking the patient whether she/he has had nausea and vomiting for 24 hours. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Selcuk University Medical Faculty Hospital | Konya | 42090 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Groups will be determined according to frailty status.
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| Postoperative for 24 hours |