Evaluating the Addition of Regional Analgesia to Reduce Postoperative Delirium in Patients Having Hip Fracture Surgery. (RASAPOD)

Auckland City Hospital

Status

Terminated

Conditions

Delirium

Hip Fracture

Treatments

Procedure: Femoral Nerve Block

Study type

Interventional

Funder types

Other

Identifiers

NCT02689388

ADHB_6925

Details and patient eligibility

About

Post operative delirium is common after hip fracture surgery and is associated with increased length of hospital stay, delayed recovery and increased mortality. Postoperative delirium can also decrease a patient's quality of life and increase treatment costs. Anesthesia and pain relief (analgesia) treatments may also influence the incidence of delirium, but more research is needed into which techniques are effective in improving patient outcomes, care and decreasing costs. This pilot study compares the addition of regional analgesia as part of general anesthesia to determine the incidence of delirium following hip surgery. This is a collaborative study involving anesthesia, orthopedic surgery and geriatrics in the improvement of patient care.

Enrollment

20 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria (must meet all 3):

Greater than or equal to 65 years
Have a hip fracture requiring surgery
Written informed consent for participation of study prior to surgery.

Exclusion criteria:

Contraindication to peripheral nerve block or local anaesthetics
Unable to do delirium or cognitive testing due to language, vision or hearing impairment
Unable to communicate with research staff due to language barriers
History of chronic opioid use (longer than 1 month)
Contraindication to general anesthesia