Effects of Music on Acute Postoperative Pain Intensity and Mobility After Fragility Hip Fracture

Not Applicable

Recruiting

• Conditions: Hip Fractures
• Interventions: Other: music listening

• Registration Number: NCT06277102
• Lead Sponsor: Hospital Authority, Hong Kong

Brief Summary

Music has been proven to be beneficial in postoperative care by reducing pain. The effects of music listening to reduce pain postoperatively are well studied among cases undergoing elective orthopaedic surgery. No study has been conducted focusing on pain control among cases with fragility hip fractures in an acute ward setting with non-schedule non-elective orthopaedic operation.

In Queen Elizabeth Hospital a standardized analgesic protocol is used for all fragility hip fracture cases unless contraindicated, a suboptimal post-operative pain control is not uncommonly seen. Stepping up analgesics is usually a concern in the elderly with a higher rate of side effects, a safe and simple non-pharmacological intervention for pain control is therefore needed.

The aim of this study is to study the effectiveness of incorporating music on pain intensity and mobility with the standard postoperative rehabilitation care of fragility hip fracture in Queen Elizabeth Hospital.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-01-26
• Status Verified: 2024-02
• Study First Submitted: 2024-02-08
• Study First Submitted QC: 2024-02-17
• Last Update Submitted: 2024-02-17
• Study First Posted: 2024-02-26
• Last Update Posted: 2024-02-26
• Primary Completion: 2024-06-01
• Study Completion: 2024-06-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. Emergency admitted to QEH/G9 due to fragility hip fracture (#NOF or # TOF) within the study period
2. Plan for surgical intervention
3. Able to provide written informed consent
4. Able to communicate in Cantonese/ Putonghua/ English

Exclusion Criteria

1. History of dementia
2. Acute delirium upon admission
3. Disorientated to time, person or place
4. Concurrent fracture at other sites
5. Utilization of other analgesics on top of pain protocol
6. Appreciable deficits in hearing or vision
7. Hemodynamically unstable
8. Plan for neurolysis/ nerve block as definite treatment or opt for conservative treatment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Music	music listening	Music listening at postoperative day 1 and 2, 1 session per day, 20 minutes per session.

Primary Outcome Measures

Name	Time	Method
Pain intensity measured by 11-point pain intensity numerical rating scale after music listening in postoperative Day 1 - 2 among subjects with fragility hip fracture	postoperative day 1 and 2

Secondary Outcome Measures

Name	Time	Method
Modified functional ambulatory classification (MFAC) in postoperative Day 3 among subjects with fragility hip fracture	postoperative day 3
New mobility score (NMS) in postoperative Day 3 among subjects with fragility hip fracture	postoperative day 3

Trial Locations

Locations (1)

Ward G9, Queen Elizabeth Hospital; 🇭🇰 Hong Kong, Hong Kong