Using brain stimulation to reduce delirium after hip surgery in older patients
Official title: Effect of Transcranial Direct Current Stimulation on Postoperative Delirium in Elderly Patients Undergoing Hip Fracture Surgery
Run by Huazhong University of Science and Technology · NCT06678529 · Data updated 2026-11-12
This study is testing if a type of brain stimulation can help older patients avoid confusion after hip surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Huazhong University of Science and Technology Academic / other |
| Locations | 1 site (Taiyuan, Shanxi) |
| Status | Recruiting |
| Started | November 1, 2024 |
| Main results expected | November 20, 2025 |
| Study ends | December 1, 2026 |
| Registry record updated | April 6, 2025 |
| Trial ID | NCT06678529 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are elderly patients aged 65 and older scheduled for elective hip fracture surgery.
✕Probably not a fit
Patients with severe mental disorders, cranial injuries, or significant cardiovascular disease may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness of transcranial direct current stimulation (tDCS) in preventing postoperative delirium (POD) in elderly patients undergoing hip fracture surgery. Participants aged 65 and older will be randomly assigned to receive either active tDCS or a sham procedure, with sessions occurring before and after surgery. The study will monitor brain activity and assess the incidence of POD using a standardized diagnostic interview. The goal is to determine if tDCS can significantly reduce the occurrence of delirium in this vulnerable population.
Why it matters
Potential benefit: If successful, this approach could significantly decrease the incidence of postoperative delirium in elderly patients, improving their recovery and overall outcomes.
How similar studies have gone: While the use of tDCS in this context is relatively novel, similar studies have shown promise in other applications of brain stimulation for cognitive and psychiatric conditions.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: (1) aged ≥ 65 years; (2) scheduled for elective hip fracture, including femoral head fractures, femoral neck fractures, intertrochanteric or subtrochanteric fractures, femoral head replacement, total hip arthroplasty, or open or closed reduction; (3) platelet count \> 80 × 10⁹/L; (4) ASA classification ≤ Grade III; (5) Mini-Mental State Examination (MMSE) scores ≥ 18 points (13); (6) willingness to participate and sign the informed consent form. Exclusion Criteria: (1) severe mental disorders,(e.g,depression or schizophrenia requiring medication treatment); (2) cranial or scalp injuries; (3) history of symptomatic cerebrovascular disease, including stroke, transient ischemic attack; (4) compound injuries, multiple fractures, periprosthetic fractures, and hip joint revisions; (5) drug or alcohol abuse; (6) severe visual or hearing impairments; (7) history of epilepsy or intracranial metal implants; (8) severe cardiovascular disease history and liver dysfunction, or kidney dysfunction; (9) coagulation abnormalities; (10) severe chronic obstructive pulmonary disease; (11) participation in other clinical studies within the past 3 months.
Where it's running
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Shanxi Bethune Hospital
Taiyuan, Shanxi, China Recruiting
Study contacts
- Principal investigator: Hua Zheng — Huazhong University of Science and Technology
- Study coordinator: lichao xue
- Email: 13835187186@163.com
- Phone: +8613835187186
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Personalized iPad audio messages to reduce confusion after hip fracture surgery
This trial will try 2-minute personalized audio reorientation messages on an iPad to see if they help prevent confusion (delirium) in people aged 60 and over after hip fracture surgery.
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Impact of Fast-Track Anesthesia on Postoperative Delirium After Cardiac Surgery
This observational study tests whether fast-track anesthesia, compared with conventional care, is linked to lower rates of delirium after elective cardiac surgery in adults.
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Remimazolam vs. Propofol for Sedation After Cardiac Surgery in Older Adults
This trial tests whether remimazolam tosylate can lower the rate of postoperative delirium compared with propofol in patients 65 and older after cardiac surgery with bypass.
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Dexmedetomidine to See if Delirium Drops After Hip Fracture Surgery
This observational study tests whether using dexmedetomidine around hip fracture surgery helps prevent postoperative delirium in adults 65 and older.
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How different pain control methods affect early mobilization after major surgery in older ICU patients
In this real-world study, researchers will observe how pain-relief methods used after major surgery in adults 65 and older in the ICU relate to how quickly they get out of bed and start moving.
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VR-based cognitive games to help prevent delirium after big surgery
A VR-based cognitive stimulation game is being tested to see if it can help prevent delirium in adults 65 and older after major surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.