Pain Clinical Trial
— Delirium-HipOfficial title:
Correlation Between Perioperative Pain and Delirium in Geriatric Patients With Hip Fracture
The objective of this trial will be to establish whether the ultrasound-guided suprainguinal fascia iliaca compartment block is capable of protecting geriatric patients with hip fracture from delirium as compared to placebo
Status | Recruiting |
Enrollment | 80 |
Est. completion date | December 31, 2023 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 75 Years to 105 Years |
Eligibility | Inclusion Criteria: - geriatric patients - American Society of Anesthesiologists (ASA) I-III - hip fracture patients Exclusion Criteria: - dementia - communication or language barriers - patients with nutritional problems - bedridden patients |
Country | Name | City | State |
---|---|---|---|
Greece | KAT General Hospital of Athens | Kifisiá |
Lead Sponsor | Collaborator |
---|---|
Aretaieion University Hospital | KAT General Hospital |
Greece,
Poeran J, Cozowicz C, Zubizarreta N, Weinstein SM, Deiner SG, Leipzig RM, Friedman JI, Liu J, Mazumdar M, Memtsoudis SG. Modifiable factors associated with postoperative delirium after hip fracture repair: An age-stratified retrospective cohort study. Eur J Anaesthesiol. 2020 Aug;37(8):649-658. doi: 10.1097/EJA.0000000000001197. — View Citation
Scurrah A, Shiner CT, Stevens JA, Faux SG. Regional nerve blockade for early analgesic management of elderly patients with hip fracture - a narrative review. Anaesthesia. 2018 Jun;73(6):769-783. doi: 10.1111/anae.14178. Epub 2017 Dec 26. Review. — View Citation
Unneby A, Svensson PO, Gustafson PY, Lindgren APB, Bergström U, Olofsson PB. Complications with focus on delirium during hospital stay related to femoral nerve block compared to conventional pain management among patients with hip fracture - A randomised controlled trial. Injury. 2020 Jul;51(7):1634-1641. doi: 10.1016/j.injury.2020.04.013. Epub 2020 Apr 20. — View Citation
Uysal AI, Altiparmak B, Yasar E, Turan M, Canbek U, Yilmaz N, Gümüs Demirbilek S. The effects of early femoral nerve block intervention on preoperative pain management and incidence of postoperative delirium geriatric patients undergoing trochanteric femur fracture surgery: A randomized controlled trial. Ulus Travma Acil Cerrahi Derg. 2020 Jan;26(1):109-114. doi: 10.14744/tjtes.2019.78002. — View Citation
Zhao X, Yuan W. Perioperative Multicomponent Interdisciplinary Program Reduces Delirium Incidence in Elderly Patients With Hip Fracture. J Am Psychiatr Nurses Assoc. 2022 Mar;28(2):154-163. doi: 10.1177/1078390320915250. Epub 2020 Apr 13. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Mini Mental State examination | Mini Mental State examination on arrival to the emergency room | arrival to the emergency room | |
Other | Mini Mental State examination | Mini Mental State examination postoperatively | 1-8 days postoperatively | |
Other | Confusion Assessment Method | Confusion Assessment Method on arrival to the emergency room | arrival to the emergency room | |
Other | Confusion Assessment Method | Confusion Assessment Method postoperatively | 1-8 days postoperatively | |
Other | requests for analgesia | requests for analgesia postoperatively | 1-8 days postoperatively | |
Other | tramadol consumption | tramadol consumption postoperatively | 1-8 days postoperatively | |
Primary | pain score 30 minutes after fascia iliaca block | pain score by the use of Numeric Rating Scale (NRS) 30 minutes after fascia ilaca block, ranging from 0 to 10, where 0 means "no pain" and 10 means "worst pain imaginable" | 30 minutes after performance of fascia iliaca block | |
Primary | pain score 12 hours after fascia iliaca block | pain score by the use of Numeric Rating Scale (NRS) 12 hours after fascia ilaca block, ranging from 0 to 10, where 0 means "no pain" and 10 means "worst pain imaginable" | 12 hours after performance of fascia iliaca block | |
Secondary | pain score 1-8 days after fascia iliaca block | pain score by the use of Numeric Rating Scale (NRS) 1-8 days after fascia ilaca block, ranging from 0 to 10, where 0 means "no pain" and 10 means "worst pain imaginable" | 1-8 days after fascia iliaca block |
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