Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture

NCT04914988 | Completed

• 1 other identifier: Si 113/2018
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Conditions

Hip Fractures; Acute Pain Due to Trauma

Outcome Measures

Primary Outcomes (2)

• numerical rating scale at rest

  numerical rating scale 0-10 (0=no pain, 10=worst pain)

  Change from baseline numerical rating scale at 30 minutes post-block

• numerical rating scale during movement

  numerical rating scale 0-10 (0=no pain, 10=worst pain)

  Change from baseline numerical rating scale at 30 minutes post-block

Secondary Outcomes (4)

• Numerical rating scale during movement

  Within 48 hours postoperative

• Rate of complications of continuous fascia iliaca compartment analgesia

  Within 48 hours postoperative

• Duration of hospital admission

  from hospital admission until hospital discharge, an average of 1 week

• Number of participants with morbidity and mortality

  6 weeks after hospital discharge

Eligibility Criteria

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

Study Population

Acute hip fracture in elderly

You may qualify if:

• patient age equal or more than 65 years old
• patient with acute hip fracture within 7 days
• patient with NRS ≥ 5

You may not qualify if:

• patient refusal
• history of local anesthetic allergy
• inability to communicate or cognitive dysfunction
• multiple fracture involvement

Sponsors & Collaborators

• Mahidol University: lead

Study Sites (1)

Faculty of Medicine Siriraj Hospital, Mahidol University

Bangkok, 10700, Thailand

Location

Related Publications (7)

• White SM, Moppett IK, Griffiths R, Johansen A, Wakeman R, Boulton C, Plant F, Williams A, Pappenheim K, Majeed A, Currie CT, Grocott MP. Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP-2). Anaesthesia. 2016 May;71(5):506-14. doi: 10.1111/anae.13415. Epub 2016 Mar 4.

  PMID: 26940645 RESULT

• Guay J, Parker MJ, Gajendragadkar PR, Kopp S. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev. 2016 Feb 22;2(2):CD000521. doi: 10.1002/14651858.CD000521.pub3.

  PMID: 26899415 RESULT

• Orosz GM, Magaziner J, Hannan EL, Morrison RS, Koval K, Gilbert M, McLaughlin M, Halm EA, Wang JJ, Litke A, Silberzweig SB, Siu AL. Association of timing of surgery for hip fracture and patient outcomes. JAMA. 2004 Apr 14;291(14):1738-43. doi: 10.1001/jama.291.14.1738.

  PMID: 15082701 RESULT

• Birnbaum K, Prescher A, Hessler S, Heller KD. The sensory innervation of the hip joint--an anatomical study. Surg Radiol Anat. 1997;19(6):371-5. doi: 10.1007/BF01628504.

  PMID: 9479711 RESULT

• Guay J, Parker MJ, Griffiths R, Kopp S. Peripheral nerve blocks for hip fractures. Cochrane Database Syst Rev. 2017 May 11;5(5):CD001159. doi: 10.1002/14651858.CD001159.pub2.

  PMID: 28494088 RESULT

• Hebbard P, Ivanusic J, Sha S. Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evaluation of a novel approach. Anaesthesia. 2011 Apr;66(4):300-5. doi: 10.1111/j.1365-2044.2011.06628.x. Epub 2011 Feb 24.

  PMID: 21401544 RESULT

• Ftouh S, Morga A, Swift C; Guideline Development Group. Management of hip fracture in adults: summary of NICE guidance. BMJ. 2011 Jun 21;342:d3304. doi: 10.1136/bmj.d3304. No abstract available.

  PMID: 21693526 RESULT

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Suwimon Tangwiwat, MD

  Mahidol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Month
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Department of Anesthesiology

Study Record Dates

• First Submitted: May 26, 2021
• First Posted: June 7, 2021
• Study Start: February 1, 2018
• Primary Completion: January 30, 2019
• Study Completion: February 15, 2019
• Last Updated: June 7, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

TH (1)