Fascia Iliaca Blocks and Pre-operative Opioid Requirements in Hip Fracture Patients

NCT02804542 | Completed

• 1 other identifier: 2016-160
• Study Type: observational
• Target: 29
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Hip Fracture

Keywords

fascia iliaca blocks

Outcome Measures

Primary Outcomes (1)

• Total Pre-op IV Morphine Equivalents (TIVME)

  IV morphine equivalent dosing pre-operatively

  From Date of admission until date of surgery, approximately 48 hours

Secondary Outcomes (2)

• Mean Pre-op Pain Score

  From Date of admission until date of surgery, approximately 48 hours

• Length of Hospital Stay (LOS)

  Through study completion, approximately 5 days

Study Arms (2)

Fascia Iliaca Block Cohort

Prospective patients receiving fascia iliaca blocks A prospective Observational study of Hip fracture patients that are offered fascia iliaca blocks as standard of care in the ED.

Other: Observational

Retrospective Control Cohort

No fascia iliaca block performed A retrospective review will be done of hip fracture patients that did not receive fascia iliaca blocks (before fascia iliaca blocks being offered in the ED as standard of care).

Other: Retrospective review

Interventions

Observational OTHER

Fascia Iliaca Block Cohort

Retrospective review OTHER

Retrospective Control Cohort

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients \>65 years of age presenting to Spectrum Health Butterworth hospital with low-energy hip fractures (displaced and non-displaced femoral neck, pertrochanteric-type including subtrochanteric extension) will be screened for the study.

You may qualify if:

• low energy femoral neck and pertrochanteric-type hip fractures
• age 65+
• intact cognition upon admission and ability to provide written informed consent

You may not qualify if:

• 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

Sponsors & Collaborators

• Corewell Health West: lead
• Grand Rapids Medical Education Partners: collaborator

MeSH Terms

Conditions

Hip Fractures

Interventions

Watchful Waiting

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Intervention Hierarchy (Ancestors)

Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration

Study Officials

• Matthew Flannigan, MD

  ECS

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 1, 2016
• First Posted: June 17, 2016
• Study Start: August 11, 2016
• Primary Completion: May 1, 2019
• Study Completion: May 1, 2019
• Last Updated: September 22, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share