Emergency Department Management of Femur Fractures

Saglik Bilimleri Universitesi

Status: Completed

Conditions: Pain, Joint; Femur Fracture; Analgesia

Study type: Observational

Funder types: Other

Identifiers

NCT06531564

isolated femur fracture

Details and patient eligibility

About

Comparison of emergency department management of patients presenting with isolated hip fracture: comparison of methods used in pain management, monitoring, and treatment; comparison of hospitalization durations; comparison of mortality

Full description

Patient demographics, mechanism of injury, femur fracture classification, associated treatments, pre-procedural pain scoring, post-procedural pain scoring, orthopedic consultation, and patient outcomes (discharge, admission to ward or ICU, mortality) will be recorded on the data form.

For acute pain management, the timing of treatment administration, effectiveness of the applied method based on pre- and post-procedural pain scoring systems will be assessed. Post-procedural pain scores will be collected at 30, 60, and 120 minutes.

Long-term complications as a result of hospitalization following emergency department follow-ups will include monitoring on days 7 and 21 for mortality and morbidity.

The patients will be analyzed in 5 groups based on the treatments administered in the emergency department.

1. IV Opioid
2. IV NSAID
3. IV acetaminophen
4. Femoral nerve block
5. PENG block The researcher will not interfere with the treatment decision made by the responsible physician or the treatment process

Enrollment: 155 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patients over the age of 18 years

Exclusion criteria

Forensic cases Patients who do not have follow-up in our healthcare system or cannot be followed up Patients with allergies to opioids or local anesthetics Patients with suspected neuropathy among defined complications of diabetes mellitus Patients requiring treatment for ≥2 different types of fractures upon emergency department admission

Trial design

155 participants in 5 patient groups

Opioid group

Description:

patients receiving intravenous opioid agents after femur fracture

NSAID

Description:

patients receiving intravenous NSAID agents after femur fracture

acetaminophen

Description:

patients receiving intravenous acetaminophen after femur fracture

Femoral nerve block

Description:

patients receiving femoral nerve blocking treatment after femur fracture

PENG block

Description:

patients receiving PENG blocking treatment after femur fracture