Hip Fracture
Conditions
Keywords
fascia iliaca blocks
Brief 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.
Interventions
OTHERObservational
OTHERRetrospective review
Sponsors
Grand Rapids Medical Education Partners
Corewell Health West
Study design
Observational model
COHORT
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Pre-op IV Morphine Equivalents (TIVME) | From Date of admission until date of surgery, approximately 48 hours | IV morphine equivalent dosing pre-operatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Pre-op Pain Score | From Date of admission until date of surgery, approximately 48 hours | Mean patient-reported pain score |
| Length of Hospital Stay (LOS) | Through study completion, approximately 5 days | — |
Outcome results
None listed