The Efficacy of Pain Management Protocol for Elderly Hip Fracture Patients After Surgery: A Prospective Cohort Study
Trial Snapshot
- Phase
- Phase 2
- Status
- Completed
- Sponsor
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Functional Independency Measure(FIM)
Study Overview
Brief Summary
The Null Hypothesis is that there is no association between Pain regime and the functional performance among geriatric patients having traumatic hip fracture. Two limbs are being assessed:1. Three weeks of regular oral Panadol and Tramadol after hip fracture 2. Oral Panadol and tramadol taking in p.r.n. basis. Functional outcome including Numerical Rate Scale for pain assessment, Functional Independency Measure and Elderly Mobility Score are chosen.
Detailed Description
200X2 patients are recruited during two periods within the study period where regular oral analgesics is given for the first 200 patients while the rest of patient will receive oral analgesics upon demand
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Both sex of Age > 65
- •Traumatic non-pathological fracture neck of femur or trochanteric or subtrochanteric fracture having operative intervention
Exclusion Criteria
- •Age < 65
- •Pathological fracture
- •Multiple lower limb fractures
- •Old fracture
Arms & Interventions
Regular oral Panadol and Tramadol
Geriatric (age >65) Patient having traumatic hip fracture will have three weeks of regular prescription of oral Panadol(500mg) and tramadol (50mg) three times a day. Operation will be done within 3 days usually followed by rehabilitation period.
Intervention: Panadol 500mg tablet, tramadol 50mg capsule (Drug)
Panadol and tramadol oral in prn basis
Control group is that patient having geriatric hip fracture will have oral analgesics ( Panadol 500mg Q4H and tramadol 50mg Q4H ) in prn basis.
Intervention: Paracetamol tablet and Tramadol capsule (Drug)
Outcomes
Primary Outcomes
Functional Independency Measure(FIM)
Time Frame: 2 years
FIM including motor and cognitive function of a patient. Motor area covers self care, ambulation, bowel and bladder and etc.
Elderly Mobility Score
Time Frame: 2 years
It is to assess mobility in frail elderly people. A final score rangeing from 0-20 is assigned during several time-point of rehabilitation
Secondary Outcomes
No secondary outcomes reported
Investigators
Ho Chin Hung
Associate Consultant (Orthopaedics and Traumatology)
Queen Elizabeth Hospital, Hong Kong