Others 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
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
Treatment Studies for Preoperative Regional Analgesia in Hip Fractures

This dataset shows strong evidence that supports regional analgesia to improve preoperative pain control in patients with hip fracture.
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Description
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.
About this Dataset
Data Info
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 | |
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 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Study | Description of the previous studies used in this research | string | required : 1 |
Outcome | Description of the reported outcomes from the patients in the research study | string | required : 1 |
Notes | Description of the other conditions related to the reported outcomes | string | - |
Quality | Description of the strength and quality of the research outcome | string | required : 1 |
Applicability | Description of the applicability to present Hip Fracture management for the elderly | string | required : 1 |
Strength_of_Evidence | Description of the strength of evidence in terms of the previous studies, outcomes and applicability | string | required : 1 |
Data Preview
Study | Outcome | Notes | Quality | Applicability | Strength of Evidence |
Monzon et al 2010 | VAS Pain Scale | High | Moderate | High | |
Mouzopoulos et al 2009 | Severity of Delirium | (DRSR-98) | High | Moderate | High |
Mouzopoulos et al 2009 | Duration of Delirium | (days) | High | Moderate | High |
Yun et al 2009 | VAS Pain Scale | High | Moderate | High | |
Yun et al 2009 | Time to Anesthesia Induction | (min) | High | Moderate | High |
Yun et al 2009 | Time to Perform Spinal Blockade | (min) | High | Moderate | High |
Foss et al 2007 | 10 pt Verbal Ranking Scale Pain on 15 deg leg lift | (60 min) | High | Moderate | High |
Foss et al 2007 | Block Success 15° deg Leg Movement | High | Moderate | High | |
Foss et al 2007 | Pain on 15° Leg Movement | High | Moderate | High | |
Foss et al 2007 | Maximum pain relief on movement elicited pain | High | Moderate | High |