Treatment Studies for Preoperative Regional Analgesia in Hip Fractures

$79 / year

This dataset shows strong evidence that supports regional analgesia to improve preoperative pain control in patients with hip fracture.

Complexity

Six high strength studies (Fletcher et al 10, Foss et al 11, Haddad et al 12, Monzon et al 13, Mouzopoulos et al 14, and Yun et al 15) and one moderate strength study (Matot, 2003 16) showed beneficial outcomes. 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 a significant reduction in reported preoperative pain on a visual analog scale. One of these studies reported improved reported pain at the time of administering spinal anesthesia.

The studies available to date report improved pain scores preoperatively. Future research should focus on the impact of early regional analgesic technique on patient outcome. Several important outcomes need to be studied: assessment of total opioid usage pre- and post-op, incidence of delirium during hospital stay, and length of stay; There may be others.

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, Outcomes of Analgesia Treatment, Intertrochanteric Fractures, Neck Of Femur Fracture, Femoral Neck Fractures, Fracture Symptoms

Other Titles

Management of Hip Fractures in the Elderly, AAOS Guidelines on Hip Fracture Management, Treatment Outcomes on Preoperative Regional Analgesia for Hip Fractures, Treatment Studies for Preoperative Regional Analgesia for Elderly Hip and Intertrochanteric Fractures, Treatment Studies for Preoperative Regional Analgesia for Elderly Hip and Neck Of Femur Fracture, Treatment Studies for Preoperative Regional Analgesia for Elderly Hip and Femoral Neck Fractures, Treatment Studies for Preoperative Regional Analgesia for Elderly Hip Fractures and Fracture Symptoms

Name Description Type Constraints
StudyDescription of the previous studies used in this researchstringrequired : 1
OutcomeDescription of the reported outcomes from the patients in the research studystringrequired : 1
NotesDescription of the other conditions related to the reported outcomesstring-
QualityDescription of the strength and quality of the research outcomestringrequired : 1
ApplicabilityDescription of the applicability to present Hip Fracture management for the elderlystringrequired : 1
Strength_of_EvidenceDescription of the strength of evidence in terms of the previous studies, outcomes and applicabilitystringrequired : 1
StudyOutcomeNotesQualityApplicabilityStrength_of_Evidence
Foss et al 2007Sedation HighModerateHigh
Haddad et al 1995MortalityHighModerateHigh
Haddad et al 1995Proven DVTHighModerateHigh
Yun et al 2009VAS Pain ScaleHighModerateHigh
Fletcher et al 2003MortalityHighModerateHigh
Monzon et al 2010VAS Pain ScaleHighModerateHigh
Haddad et al 1995VAS Pain ScaleHighModerateHigh
Haddad et al 1995Skin BreakdownHighModerateHigh
Haddad et al 1995Wound InfectionHighModerateHigh
Matot et al 2003MortalityModerateModerateModerate