Influence of Standardized Perioperative Anesthetic, Analgesic Care on Outcome of Patients Undergoing Hip Fracture Surgeries

Influence of Standardized Peri-operative Anesthetic and Analgesic Care on the Outcome of Patients Undergoing Hip Fracture Surgeries

Status

Withdrawn

Phases

Phase 1

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06925789

Enrollment

Registered

2025-04-13

Start date

2025-07-01

Completion date

2026-05-01

Last updated

2025-09-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fractures, Hip, Geriatric, Local Anesthesia, Nerve Block

Keywords

Hip Fracture, Nerve blocks, Geriatric, Local anesthesia, Post operative outcomes

Brief summary

The purpose of this voluntary research study is to clarify whether or not a single injection nerve block done before surgery and after surgery nerve block catheter can effectively enhance recovery in elderly hip fracture patients in terms of reduced delirium, reduced length of stay and improved surgical and anesthesia outcomes. Delirium is a serious change in mental abilities. It results in confused thinking and a lack of awareness of someone's surroundings. The disorder usually comes on fast - within hours or a few days. Prolonged hospital stay is one of the risk factors for onset of delirium.

Interventions

DRUGRopivacaine

The nerve block is performed when the patients are admitted to the hospital with diagnosed hip fractures. And another nerve block with catheter is performed for post-operative pain control in geriatric population with 0.25% Ropivacaine 30mls.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

65 Years to No maximum

Healthy volunteers

Inclusion criteria

1. Undergoing anesthesia for hip fracture surgery. 2. Patients with fracture neck of femur fractures. 3. Geriatric patients. (65 years and older)

Exclusion criteria

1. Non-fracture hip patients 2. non-geriatric patients. (Below 65 years old) 3. Patients not able to consent themselves 4. Non- English-speaking patients

Design outcomes

Primary

Measure	Time frame	Description
Pain Control	up to 48 hours post hospital admission.	Pain control is determined by the Likert pain scale, where 0 is no pain and 10 as severe pain
Opioid Use	up to 48 hours post hospital admission.	Identification of opioid use via the EMR, Opioids usage is measured at as number of morphine equivalents during the hospital admission.

Secondary

Measure	Time frame	Description
Delirium score	up to 48 hours post hospital admission.	Delirium score is calculated using the FLACC score, where FLACC score of 0 is relaxed and comfortable and FLACC score of 7-10 is severe delirium.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026