Fascia Iliaca Blocks and Pre-operative Opioid Requirements in Hip Fracture Patients

Completed

• Conditions: Hip Fracture
• Interventions: Other: Observational; Other: Retrospective review

• Registration Number: NCT02804542
• Lead Sponsor: Spectrum Health Hospitals

Brief Summary

The purpose of this study is to determine if non-continuous local anesthetic fascia iliaca blocks performed in the emergency department are effective for preoperative analgesia in hip fracture patients. Investigators hypothesize that patients with these blocks will have lower opioid requirements than patients in a historical group in whom blocks were not performed.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-06-01
• Study First Submitted QC: 2016-06-14
• Study First Posted: 2016-06-17
• Study Start: 2016-08-11
• Primary Completion: 2019-05
• Study Completion: 2019-05
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-21
• Last Update Posted: 2023-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

Inclusion Criteria

• low energy femoral neck and pertrochanteric-type hip fractures
• age 65+
• intact cognition upon admission and ability to provide written informed consent

Exclusion Criteria

• pathologic fractures (tumor)
• high energy fractures
• concomitant fractures besides hip fractures
• chronic home opioid exposure prior to hospitalization
• moderate to severe dementia
• pre-fracture hospitalization
• time from arrival to block >6 hours
• time from arrival to OR <6 hours or >48 hours

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Fascia Iliaca Block Cohort	Observational	Prospective patients receiving fascia iliaca blocks A prospective Observational study of Hip fracture patients that are offered fascia iliaca blocks as standard of care in the ED.
Retrospective Control Cohort	Retrospective review	No fascia iliaca block performed A retrospective review will be done of hip fracture patients that did not receive fascia iliaca blocks (before fascia iliaca blocks being offered in the ED as standard of care).

Primary Outcome Measures

Name	Time	Method
Total Pre-op IV Morphine Equivalents (TIVME)	From Date of admission until date of surgery, approximately 48 hours	IV morphine equivalent dosing pre-operatively

Secondary Outcome Measures

Name	Time	Method
Length of Hospital Stay (LOS)	Through study completion, approximately 5 days
Mean Pre-op Pain Score	From Date of admission until date of surgery, approximately 48 hours	Mean patient-reported pain score