Use of Anesthetic Block for the Prevention of in Hospital Delirium in Patients of the Orthogeriatric Clinical Care Center of the HUFSFB and HUSJI From 2019 - 2020

NCT04654962 | Unknown

• 1 other identifier: CEIS-2020-083
• Study Type: observational
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to identify the association between analgesic management with blockade of the iliac fascia versus intravenous analgesia with the presence of delirium during hospital stay in patients admitted to the orthogeriatric clinical care center, to determine the opioid consumption of both groups of patients during hospitalization and determine the risk factors that may be associated with a greater presentation of delirium.

Conditions

Delirium in Old Age; Fragility Fracture; Hip Fractures

Outcome Measures

Primary Outcomes (1)

• In hospital Delirium

  Presence of delirium measured with the Confusion Assessment Method (CAM) scale during hospitalization. The CAM scale assesses the presence and severity of delirium, and its algorithm is based on four main features of delirium: 1) acute onset and fluctuating course, 2) inattention, 3) disorganized thinking, and 4) altered level of consciousness. A diagnosis of delirium according to the CAM requires the presence of features 1, 2, and either 3 or 4.

  Through study completion, an average of 1 year

Study Arms (2)

patients receiving preoperative analgesic management with anesthetic block

This cohort includes all patients that received preoperative anesthetic block for hip fracture surgery as main analgesic management during the study period.

Procedure: Anesthetic nerve block

patients receiving conventional preoperative analgesic management

This cohort includes all patients that received conventional preoperative analgesic management (oral, intravenous or intramuscular medication) for hip fracture surgery as main analgesic management during the study period.

Interventions

Anesthetic nerve block PROCEDURE

iliac fascia block is an analgesic technique that uses local anesthesia, is effective and relatively safe in preoperative management. The target of this block is the femoral and lateral femoral cutaneous nerves; which innervate the anterior aspect of the thigh, as well as the muscle and periosteum that covers the femoral head, neck and proximal femur.

patients receiving preoperative analgesic management with anesthetic block

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

* Patients older than 65 years with a diagnosis of hip fracture who are admitted to the Orthogeriatric Clinical Care Center at the Santa Fe de Bogotá Foundation in a period between January 2019 and December 2020. * Patients over 65 years of age with a diagnosis of hip fracture who enter the Excellence Program in Orthogeriatrics at the San José Infantil University Hospital in a period between January 2019 and December 2020.

You may qualify if:

• Patients over 65 years of age with a diagnosis of hip fracture due to fragility who are admitted to the Orthogeriatric clinical care center at the Santa Fe de Bogotá Foundation and the San José Infantil University Hospital between January 2019 and December 2020. These two institutions are selected Since they have a model of care for this type of patient, it is similar and therefore comparable.

You may not qualify if:

• Patients diagnosed with delirium on admission to the emergency room.
• Patients with hip fracture caused by high energy trauma
• Patients with hip fracture related with tumoral disease or metastasis

Sponsors & Collaborators

• Fundación Santa Fe de Bogota: lead

Study Sites (1)

Hospital Universitario Fundación Santa fe de Bogotá

Bogotá, Colombia

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Carlos M Olarte, MD

  Orthopedic surgeon

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical research assistant of the Orthogeriatric Clinical Care Center

Study Record Dates

• First Submitted: November 25, 2020
• First Posted: December 4, 2020
• Study Start: October 1, 2020
• Primary Completion: January 15, 2021
• Study Completion: February 15, 2021
• Last Updated: December 4, 2020

Record last verified: 2020-12

Locations

CO (1)