Fascia Iliaca Blocks and Pre-operative Opioid Requirements in Hip Fracture Patients

Hip Fracture Clinical Trial

Official title:

Pre-operative Fascia Iliaca Blocks and Opioid Requirements in Hip Fracture Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02804542
• Other study ID #: 2016-160
• Status: Completed
• Start date: August 11, 2016
• Est. completion date: May 2019

Study information

• Verified date: September 2023
• Source: Spectrum Health Hospitals
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to determine if non-continuous local anesthetic fascia iliaca blocks performed in the emergency department are effective for preoperative analgesia in hip fracture patients. Investigators hypothesize that patients with these blocks will have lower opioid requirements than patients in a historical group in whom blocks were not performed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 29
• Est. completion date: May 2019
• Est. primary completion date: May 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• low energy femoral neck and pertrochanteric-type hip fractures
• age 65+
• intact cognition upon admission and ability to provide written informed consent

Exclusion Criteria:

• pathologic fractures (tumor)
• high energy fractures
• concomitant fractures besides hip fractures
• chronic home opioid exposure prior to hospitalization
• moderate to severe dementia
• pre-fracture hospitalization
• time from arrival to block >6 hours
• time from arrival to OR <6 hours or >48 hours

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fracture
• Hip Fractures

Intervention

Other:
• Observational

• Retrospective review

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Spectrum Health Hospitals	Grand Rapids Medical Education Partners

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total Pre-op IV Morphine Equivalents (TIVME)	IV morphine equivalent dosing pre-operatively	From Date of admission until date of surgery, approximately 48 hours
Secondary	Mean Pre-op Pain Score	Mean patient-reported pain score	From Date of admission until date of surgery, approximately 48 hours
Secondary	Length of Hospital Stay (LOS)		Through study completion, approximately 5 days