Fascia Iliaca Blocks and Pre-operative Opioid Requirements in Hip Fracture Patients

Spectrum Health Hospitals

Status: Completed

Conditions: Hip Fracture

Treatments: Other: Observational; Other: Retrospective review

Study type: Observational

Funder types: Other

Identifiers

NCT02804542

2016-160

Details and patient eligibility

About

The purpose of this study is to determine if non-continuous local anesthetic fascia iliaca blocks performed in the emergency department are effective for preoperative analgesia in hip fracture patients. Investigators hypothesize that patients with these blocks will have lower opioid requirements than patients in a historical group in whom blocks were not performed.

Enrollment: 29 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• low energy femoral neck and pertrochanteric-type hip fractures
• age 65+
• intact cognition upon admission and ability to provide written informed consent

Exclusion criteria

• pathologic fractures (tumor)
• high energy fractures
• concomitant fractures besides hip fractures
• chronic home opioid exposure prior to hospitalization
• moderate to severe dementia
• pre-fracture hospitalization
• time from arrival to block >6 hours
• time from arrival to OR <6 hours or >48 hours

Trial design

29 participants in 2 patient groups

Fascia Iliaca Block Cohort

Description:

Prospective patients receiving fascia iliaca blocks A prospective Observational study of Hip fracture patients that are offered fascia iliaca blocks as standard of care in the ED.

Treatment:

Other: Observational

Retrospective Control Cohort

Description:

No fascia iliaca block performed A retrospective review will be done of hip fracture patients that did not receive fascia iliaca blocks (before fascia iliaca blocks being offered in the ED as standard of care).

Treatment:

Other: Retrospective review