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Completed

NCT Number: NCT04914988

Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture

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.

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Key information

Conditions

Hip Fractures Acute Pain Due to Trauma Femoral Fractures Fractures, Bone Hip Injuries Leg Injuries Wounds and Injuries

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Faculty of Medicine Siriraj Hospital, Mahidol University

Bangkok, 10700, Thailand

About this study

The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB.

The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

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

Treatment and study plan

Primary outcomes

  1. numerical rating scale at rest

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

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

  2. numerical rating scale during movement

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

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

Secondary outcomes

  1. Numerical rating scale during movement

    Time frame: Within 48 hours postoperative

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

  2. Rate of complications of continuous fascia iliaca compartment analgesia

    Time frame: Within 48 hours postoperative

    local anesthetic systemic toxicity, leakage, infection

  3. Duration of hospital admission

    Time frame: from hospital admission until hospital discharge, an average of 1 week

    number of days

  4. Number of participants with morbidity and mortality

    Time frame: 6 weeks after hospital discharge

    myocardial disease, deep vein thrombosis, delirium, death

Sponsors and collaborators

Lead sponsor

Mahidol University

Other

Registry information

Official study title

Pain Management in Geriatric Hip Fracture Patients With Ultrasound-guided Continuous Fascia Iliaca Compartment Block

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Jun 7, 2021
Registry last updated
Jun 7, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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