Regional Analgesia VS Pain Control Management of Elderly Hip Fractures

$79 / year

This dataset shows strong evidence that supports regional analgesia versus control or improvement of preoperative pain in patients with hip fracture.

Complexity

Six studies inclusive of 593 patients used a prospective randomized clinical trial design to assess the effect of regional analgesia in reducing preoperative pain after hip fracture upon presentation to the emergency department (Fletcher et al 10, Foss et al 11, Haddad et al 12, Monzon et al 13, Mouzopoulos et al, and Yun et al 15).
These studies all used a technique of administration of a local anesthetic that results in temporary loss of nerve function in the fascia iliaca or femoral compartment of the injured hip. In each study the patients who received this agent reported significant reduction in reported preoperative pain on a visual analog scale.

Date Created

2014-09-05

Last Modified

2014-09-05

Version

2014-09-05

Update Frequency

Never

Temporal Coverage

1995 to 2010

Spatial Coverage

United States

Source

John Snow Labs => American Academy of Orthopaedic Surgeons (AAOS)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hip Fractures, Preoperative Regional Analgesia for Hip Fractures, Hip Fractures in the Elderly, Regional Analgesia Versus Control, Hip Bone Fracture, Neck of Femur, Femoral Neck Fractures, Fracture Symptoms

Other Titles

Management of Hip Fractures in the Elderly, AAOS Guidelines on Hip Fracture Management, Regional Analgesia Versus Control: Pain for Hip Fractures, Regional Analgesia Versus Control Pain for the Management of Elderly Hip Bone Fractures, Regional Analgesia Versus Control Pain for the Management of Elderly Hip and Neck of Femur Fractures, Regional Analgesia Versus Control Pain for the Management of Elderly Hip and Femoral Neck Fractures, Regional Analgesia Versus Control Pain for the Management of Elderly Hip Fractures and Fracture Symptoms

Name Description Type Constraints
StudyDescription of the previous studies used in this research.stringrequired : 1
OutcomeDescription of the reported outcomes from the participants in the research study.stringrequired : 1
DurationDescription of the duration of the peak length of time for the effect of the regional analgesia.stringrequired : 1
Group_1Description of the methods used for the administration of the regional anesthesia in the first group.stringrequired : 1
Group_2Description of the methods used for the administration of the regional anesthesia in the second group.stringrequired : 1
Population_SizeShows the number of participants or population size in a certain group that received the regional anesthesia.integerlevel : Ratio
StatisticDescription of the measurable characteristic of a sample population.string-
ResultResults of the study.numberlevel : Ratio
ProbabilityEffectiveness of the result based on the hypothesis of the study.numberlevel : Ratio
Study_P_ValueStatistical significance of the results of the study.string-
FavorsDescription of which method is more effective.stringrequired : 1
StudyOutcomeDurationGroup_1Group_2Population_SizeStatisticResultProbabilityStudy_P_ValueFavors
Haddad et al 1995Analgesic Score8 HoursFemoral Nerve BlockSystemic Analgesia45Mean difference-0.8NRNS
Haddad et al 1995Analgesic Score PreblockImmediateFemoral Nerve BlockSystemic Analgesia45Mean difference0.3NRNS
Foss et al 200710 pt VRS Pain at Rest30 minFascia Iliaca Compartment Blockade (FICB)Systemic Morphine48p= 0.06NS
Haddad et al 1995Oral Analgesia RequestWithin 24 HoursFemoral Nerve BlockSystemic Analgesia45Risk ratio0.880.83NS
Haddad et al 1995Voltarol Analgesia RequestWithin 24 HoursFemoral Nerve BlockSystemic Analgesia45Risk ratio0.680.34NS
Foss et al 2007Pain on 15° Leg MovementImmediateFascia Iliaca Compartment Blockade (FICB)Systemic Morphine48p= 1.00NS
Foss et al 20075 pt VRS Overall pain relief30 minFascia Iliaca Compartment Blockade (FICB)Systemic Morphine48p= 0.09NS
Haddad et al 1995IM OpiateWithin 24 HoursFemoral Nerve BlockSystemic Analgesia45Risk ratio0.30Favors Systemic Analgesia
Foss et al 200710 pt VRS Pain at Rest60 minFascia Iliaca Compartment Blockade (FICB)Systemic Morphine48p= 0.01Favors FICB
Foss et al 200710 pt VRS Pain at Rest180 minFascia Iliaca Compartment Blockade (FICB)Systemic Morphine48p= 0.03Favors FICB