ASA or CFS for ICU Prediction in Geriatric Hip Fracture

NCT07522541 | Active Not Recruiting

• 1 other identifier: 2026-03/69
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Hip Fracture Surgeries; Geriatric Assessment; Frailty at Older Adults; Intensive Care

Keywords

Geriatrics; Hip Fractures; Clinical Frailty Scale; Intensive Care Units; Postoperative Complications; Risk Assessment

Outcome Measures

Primary Outcomes (1)

• Postoperative Intensive Care Unit (ICU) Admission Requirement

  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.

  Within 24 hours postoperatively

Secondary Outcomes (4)

• Length of Stay in the Intensive Care Unit and Total Hospital Stay

  From the day of surgery until hospital discharge, up to 1 year

• Postoperative Delirium

  Up to 48 hours postoperatively

• Major Postoperative Complications

  From the end of surgery until hospital discharge, up to 30 days

• In-hospital Mortality

  From the day of surgery until hospital discharge, up to 30 days

Study Arms (1)

Geriatric Hip Fracture Cohort

This cohort includes retrospective data from approximately 200 patients aged 65 and older who underwent surgery for hip fractures (femoral neck, intertrochanteric, or subtrochanteric) between November 2023 and November 2025. The study evaluates the requirement for Intensive Care Unit (ICU) admission following routine surgical and anesthesia (general or spinal) interventions. The primary focus is to comparatively analyze the predictive value of preoperative ASA physical status classification and Clinical Frailty Scale (CFS) scores on patients' postoperative ICU needs and clinical outcomes

Other: Routine Surgical and Anesthetic Mnagement.

Interventions

Routine Surgical and Anesthetic Mnagement. OTHER

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

Geriatric Hip Fracture Cohort

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The study population consists of approximately 243 geriatric patients aged 65 years and older who underwent surgery for acute traumatic hip fracture (femoral neck, intertrochanteric, or subtrochanteric) at the Department of Anesthesiology and Reanimation, University of Health Sciences, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, between November 2023 and December 2025. The population includes patients with complete preoperative anesthesia records, ASA physical status scores, and sufficient clinical documentation for retrospective Clinical Frailty Scale (CFS) scoring

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital: lead

Study Sites (1)

Abdurrahman yurtarslan onkoloji eğitim ve araştırma hastanesi

Ankara, 06630, Turkey (Türkiye)

Location

Related Publications (2)

• Saetang M, Kunapaisal T, Chatmongkolchart S, Yongsata D, Sukitpaneenit K. Assessing frailty to predict surgical risk: a comparative study of three tools in older non-cardiac surgery patients. BMC Geriatr. 2025 Nov 21;25(1):941. doi: 10.1186/s12877-025-06683-1.

  PMID: 41272515 BACKGROUND

• Becerra-Bolanos A, Hernandez-Aguiar Y, Rodriguez-Perez A. Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review. J Int Med Res. 2024 Sep;52(9):3000605241274553. doi: 10.1177/03000605241274553.

  PMID: 39268763 BACKGROUND

MeSH Terms

Conditions

Hip Fractures; Postoperative Complications

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiology and Reanimation Specialist

Study Record Dates

• First Submitted: April 1, 2026
• First Posted: April 13, 2026
• Study Start: March 30, 2026
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: May 28, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)