Pain Management in Elderly Patients With or Without Cognitive Frailty Hospitalized "ALGOGER"
ALGOGER
Retrospective Study of Protocol-based Pain Management in Elderly Patients With or Without Cognitive Frailty Hospitalized at UPOG for Fracture of the Upper Extremity of the Femur in 2022
1 other identifier
observational
350
1 country
1
Brief Summary
Today, the standard treatment is to operate on patients suffering from a fracture of the upper end of the femur. The aim of treatment is to enable immediate mobilization and weight-bearing, and as rapid a return as possible to normal living conditions. Surgery is the best treatment option. It maximizes the chances of functional recovery and, by stabilizing the fracture, reduces pain: it is the most effective and longest-lasting analgesic. Adequate analgesia in elderly patients with femoral neck fractures has a beneficial effect. In particular, a lower probability of death has been shown in cervical fracture patients receiving opioids than those not receiving them. Pain management is a matter of protocol in the UPOG department of the CHU de Nîmes. Pain prevention appears to improve morbidity and mortality. Cognitive fragility, such as neurocognitive disorders, confusion or long-term use of psychotropic drugs, appear to be confounding factors in pain management. The investigators therefore wished to observe whether the presence of cognitive fragility has an impact on pain management on the ward, despite protocol-based management.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2023
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 9, 2023
CompletedFirst Submitted
Initial submission to the registry
June 22, 2023
CompletedFirst Posted
Study publicly available on registry
September 28, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
October 30, 2023
CompletedMarch 10, 2025
March 1, 2025
8 months
June 22, 2023
March 7, 2025
Conditions
Outcome Measures
Primary Outcomes (3)
Morphine sulfate equivalent rate in each group, mg/day
mg/day
Pre-operative
Morphine sulfate equivalent rate in each group, mg/day
mg/day
Early post-operative between Day 0 and Day 3
Morphine sulfate equivalent rate in each group, mg/day
mg/day
Late post-operative between Day 4 and day 7
Eligibility Criteria
All patients hospitalized at UPOG for fracture of the upper end of the femur between January 1 and December 31, 2022.
You may qualify if:
- Patients aged \> 75 years
- Hospitalized for a fracture of the upper extremity of the femur at the UPOG of the CHU de Nîmes during 2022
You may not qualify if:
- Opioid allergy
- No surgical management of fracture
- Long-term treatment with high-dose opiates
- Patient has objected to the use of his or her data.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
GAULTIER
Nîmes, CHU de Nîmes, 30029, France
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 22, 2023
First Posted
September 28, 2023
Study Start
March 9, 2023
Primary Completion
October 30, 2023
Study Completion
October 30, 2023
Last Updated
March 10, 2025
Record last verified: 2025-03