Effect of Rebound Pain on Postoperative Intensive Care Delirium in Patients Undergoing Hip Surgery With Peripheral Nerve Block: A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Incidence of delirium
研究概览
简要总结
Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.
The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.
Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.
详细描述
Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.
The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.
Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.
In recent years, the Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block have gained attention as regional anesthesia techniques that provide effective analgesia by targeting the nerve branches innervating the anterior capsule of the hip joint.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18-80
- •ASA I-III risk groups
- •Undergoing elective hip surgery
排除标准
- •Preoperative history of delirium, dementia, or major neurological disease
- •Present cognitive impairment or severe hearing or visual impairment that could affect pain assessment
- •Development of mechanical ventilation requirement in the intensive care unit; Need for bilateral hip surgery
- •Failure to provide meaningful analgesia after block application due to surgical pain outside the scope of the block
- •Patient's inability to complete the pain diary during postoperative follow-up;
- •Urgent hip surgery
- •Voluntary failure to give consent or request to withdraw from the study.
结局指标
主要结局
Incidence of delirium
时间窗: 72 hours
The incidence of delirium will be evaluated in the first 72 hours postoperatively in the intensive care unit.
次要结局
未报告次要终点
研究者
HASAN ŞENAY
Specialist, Department of Intensive Care Unit, Konya City Hospital, M.D
Konya City Hospital