Better ways of pain management in adults with hip fractures

Phase 3

• Conditions: Hip Fracture Pain Management; Cognitive Impairment; Emergency medicine - Other emergency care; Surgery - Other surgery; Anaesthesiology - Pain management; Injuries and Accidents - Fractures; Neurological - Other neurological disorders

• Registration Number: ACTRN12618001884291
• Lead Sponsor: Townsville Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-11-20
• Last Update Posted: 15 July 2019

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 122

Inclusion Criteria

Adults over the age of 50 years with a radiologically-proven neck of femur fracture and ability to consent

Exclusion Criteria

Interhospital transfers,
Refusal of consent,
Individuals with weights less than 50kg, Local site infection,
Allergies to local anaesthetics,
Liver failure,
Dangerous or combative patients,
Altered anatomy (such as past femoral bypass),
Unwell patients requiring immediate resuscitation

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Behavioural pain score (Pain in Advanced Dementia)[Pre-operation pain scores at 16 hours from emergency presentation (primary timepoint)<br><br>Other pain score timepoints will be as follows:<br>Every hour from emergency presentation for first 4 hours<br>Every 2 hours from hours 4-8<br>Every 4 hours from hours 8 until time to surgery.<br><br>Time to surgery duration may range from 6-48 hours with the average being 23 hours. Pain scores will be compared across multiple timepoints where applicable.]

Secondary Outcome Measures

Name	Time	Method
Pain Scale (verbal response scale 1-10)[Pre-operation pain scores at 16 hours from emergency presentation (secondary timepoint)<br><br>Other pain score timepoints will be as follows:<br>Every hour from emergency presentation for first 4 hours<br>Every 2 hours from hours 4-8<br>Every 4 hours from hours 8 until time to surgery.<br><br>Time to surgery duration may range from 6-48 hours with the average being 23 hours. Pain scores will be compared across multiple timepoints where applicable.];Total Opioid use (Study-specific analysis)<br>- Total Opioid use will be standardised to IV Morphine using the ANZFPM pain calculator, then divided by each patients weight (kg) and standardised to a 24 hour time period to allow appropriate comparison.[Total IV Morphine over entire duration (from 6-48 hours) standardised to amount/24 hours.];Delirium incidence (CAM Scores) - single incidence[Pre-operative time period. Duration may last from 6-48hours depending on surgical planning.]