Influence of Standardized Perioperative Anesthetic, Analgesic Care on Outcome of Patients Undergoing Hip Fracture Surgeries

Phase 1

Not yet recruiting

• Conditions: Nerve Block; Fractures, Hip; Local Anesthesia; Geriatric
• Interventions: Drug: Ropivacaine

• Registration Number: NCT06925789
• Lead Sponsor: Milton S. Hershey Medical Center

Brief Summary

The purpose of this voluntary research study is to clarify whether or not a single injection nerve block done before surgery and after surgery nerve block catheter can effectively enhance recovery in elderly hip fracture patients in terms of reduced delirium, reduced length of stay and improved surgical and anesthesia outcomes. Delirium is a serious change in mental abilities. It results in confused thinking and a lack of awareness of someone's surroundings. The disorder usually comes on fast - within hours or a few days. Prolonged hospital stay is one of the risk factors for onset of delirium.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-04
• Study First Submitted: 2025-04-07
• Study First Submitted QC: 2025-04-07
• Last Update Submitted: 2025-04-07
• Study First Posted: 2025-04-13
• Last Update Posted: 2025-04-13
• Study Start: 2025-05-01
• Primary Completion: 2026-05-01
• Study Completion: 2026-05-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. Undergoing anesthesia for hip fracture surgery.
2. Patients with fracture neck of femur fractures.
3. Geriatric patients. (65 years and older)

Exclusion Criteria

1. Non-fracture hip patients
2. non-geriatric patients. (Below 65 years old)
3. Patients not able to consent themselves
4. Non- English-speaking patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Local anesthesia to treat hip fracture in geriatric patients	Ropivacaine	-

Primary Outcome Measures

Name	Time	Method
Opioid Use	up to 48 hours post hospital admission.	Identification of opioid use via the EMR, Opioids usage is measured at as number of morphine equivalents during the hospital admission.
Pain Control	up to 48 hours post hospital admission.	Pain control is determined by the Likert pain scale, where 0 is no pain and 10 as severe pain

Secondary Outcome Measures

Name	Time	Method
Delirium score	up to 48 hours post hospital admission.	Delirium score is calculated using the FLACC score, where FLACC score of 0 is relaxed and comfortable and FLACC score of 7-10 is severe delirium.