Clinical Trials Directory

Trials / Completed

CompletedNCT07443566

10-Year Survival After Acute Hip Fracture in Patients With Preclinical/Clinical Alzheimer Pathology

10-Year Follow-up of Mortality in Patients With Acute Hip Fractures: Associations With Pre-Alzheimer's/Alzheimer's Disease and Cerebrospinal Fluid Biomarkers

Status
Completed
Phase
Study type
Observational
Enrollment
404 (actual)
Sponsor
Bengt Nellgård · Academic / Other
Sex
All
Age
65 Years
Healthy volunteers
Not accepted

Summary

This study is a 10-year follow-up of a previously enrolled cohort of patients who underwent surgery for acute hip fracture with spinal anesthesia and had pre-fracture cognitive status assessed (Clinical Dementia Rating, CDR) and cerebrospinal fluid (CSF) biomarkers related to Alzheimer's disease measured (e.g., Aβ42/Aβ40 ratio, total tau, phosphorylated tau). The primary aim is to determine long-term survival at 10 years after index hip fracture surgery and to evaluate whether baseline cognitive status and/or Alzheimer-type CSF biomarker profiles are associated with long-term mortality.

Detailed description

Participants were originally included during admission for acute hip fracture (October 2013-June 2015) at Sahlgrenska University Hospital, Mölndal, Sweden, and underwent lumbar CSF sampling at spinal anesthesia induction. Cognitive status prior to the fracture was assessed using CDR. Mortality will be ascertained through Swedish national registries. The follow-up extends survival assessment to approximately 10 years after surgery. Analyses will compare survival across baseline cognitive status categories and biomarker-defined groups (e.g., normal vs abnormal Aβ42/Aβ40 ratio), and may adjust for baseline covariates (e.g., age, sex, ASA class / hip fracture risk scores if available from original dataset).

Conditions

Timeline

Start date
2013-10-01
Primary completion
2015-06-01
Completion
2015-06-01
First posted
2026-03-02
Last updated
2026-03-02

Locations

1 site across 1 country: Sweden

Source: ClinicalTrials.gov record NCT07443566. Inclusion in this directory is not an endorsement.