Pain Management in Elderly Patients With or Without Cognitive Frailty Hospitalized "ALGOGER"

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Cognitive Deterioration

Age range

76 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

GAULTIER

Nîmes, CHU de Nîmes, 30029, France

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

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

Exclusion criteria

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.

Treatment and study plan

Primary outcomes

Morphine sulfate equivalent rate in each group, mg/day

Time frame: Pre-operative

mg/day
Morphine sulfate equivalent rate in each group, mg/day

Time frame: Early post-operative between Day 0 and Day 3

mg/day
Morphine sulfate equivalent rate in each group, mg/day

Time frame: Late post-operative between Day 4 and day 7

mg/day

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Nīmes

Other

Registry information

Official study title

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

Acronym: ALGOGER

Important dates

Study start: 2023
Primary completion: 2023
Study completion: 2023
First posted: Sep 28, 2023
Registry last updated: Mar 10, 2025

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.

Published trials that share one or more normalized conditions with this study.

Completed