Emergency Department Management of Femur Fractures

NCT06531564 | Completed

• 1 other identifier: isolated femur fracture
• Study Type: observational
• Target: 155
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison of emergency department management of patients presenting with isolated hip fracture: comparison of methods used in pain management, monitoring, and treatment; comparison of hospitalization durations; comparison of mortality

Conditions

Femur Fracture; Pain, Joint; Analgesia

Keywords

isolated femur fracture; analgesia; emergency department; nerve block

Outcome Measures

Primary Outcomes (1)

• effective analgesia after receiving treatment

  patients will be evaluated before and after analgesic treatments according to pain scales ( visual analogue scale, verbal pain intensity scale, PAINAD ( pain assessment in advanced dementia) scale andvisual analogue scale), effective pain management will be primary outcome

  24 hours

Study Arms (5)

Opioid group

patients receiving intravenous opioid agents after femur fracture

NSAID

patients receiving intravenous NSAID agents after femur fracture

acetaminophen

patients receiving intravenous acetaminophen after femur fracture

Femoral nerve block

patients receiving femoral nerve blocking treatment after femur fracture

PENG block

patients receiving PENG blocking treatment after femur fracture

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

patients over the age of 18 years administered to emergency department with isolated femur fracture receving analgesia

You may qualify if:

• Patients over the age of 18 years

You may not qualify if:

• Forensic cases Patients who do not have follow-up in our healthcare system or cannot be followed up Patients with allergies to opioids or local anesthetics Patients with suspected neuropathy among defined complications of diabetes mellitus Patients requiring treatment for ≥2 different types of fractures upon emergency department admission

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead
• Ankara Etlik City Hospital: collaborator

Study Sites (1)

Etlik City Hospital

Ankara, Yenimahalle, 06110, Turkey (Türkiye)

Location

Related Publications (3)

• Simic A, Nesek Adam V, Rosic D, Kocet N, Svetec M, Herceg A, Keranovic A, Rasic Z. PERIPHERAL NERVE BLOCKS FOR HIP FRACTURES IN EMERGENCY MEDICINE. Acta Clin Croat. 2022 Jun;61(Suppl 1):78-83. doi: 10.20471/acc.2022.61.s1.13.

  PMID: 36304813 BACKGROUND

• Thiam CN, Khor HM, Pang GHM, Lim WC, Shanmugam T, Chandrasekaran CSK, Singh S, Zakaria MIB, Ong T. Hip fracture management in the emergency department and its impact on hospital outcomes: a retrospective cross-sectional analysis. Eur Geriatr Med. 2022 Oct;13(5):1081-1088. doi: 10.1007/s41999-022-00654-0. Epub 2022 May 14.

  PMID: 35567676 BACKGROUND

• Fahey A, Cripps E, Ng A, Sweeny A, Snelling PJ. Pericapsular nerve group block for hip fracture is feasible, safe and effective in the emergency department: A prospective observational comparative cohort study. Emerg Med Australas. 2022 Dec;34(6):884-891. doi: 10.1111/1742-6723.14013. Epub 2022 Jun 14.

  PMID: 35701386 BACKGROUND

MeSH Terms

Conditions

Femoral Fractures; Arthralgia; Agnosia; Emergencies

Condition Hierarchy (Ancestors)

Fractures, Bone; Wounds and Injuries; Leg Injuries; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases; Disease Attributes; Pathologic Processes

Study Officials

• gulsen akcay, ass. prof.

  ass. prof. of organization

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 17, 2024
• First Posted: August 1, 2024
• Study Start: August 1, 2023
• Primary Completion: February 1, 2024
• Study Completion: February 1, 2024
• Last Updated: August 1, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)