Pain Management in Geriatric Hip Fracture

Study Overview
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Brief Summary
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The Null Hypothesis is that there is no association between Pain regime and the functional performance among geriatric patients having traumatic hip fracture. Two limbs are being assessed:1. Three weeks of regular oral Panadol and Tramadol after hip fracture 2. Oral Panadol and tramadol taking in p.r.n. basis. Functional outcome including Numerical Rate Scale for pain assessment, Functional Independency Measure and Elderly Mobility Score are chosen.

Detailed Description
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200X2 patients are recruited during two periods within the study period where regular oral analgesics is given for the first 200 patients while the rest of patient will receive oral analgesics upon demand

Official Title
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The Efficacy of Pain Management Protocol for Elderly Hip Fracture Patients After Surgery: A Prospective Cohort Study

Conditions
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Geriatric Hip Fracture Pain Management

Intervention / Treatment
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* Drug: Paracetamol tablet and Tramadol capsule
* Drug: Panadol 500mg tablet, tramadol 50mg capsule


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both sex of Age > 65 Traumatic non-pathological fracture neck of femur or trochanteric or subtrochanteric fracture having operative intervention Exclusion Criteria: Age < 65 Pathological fracture Multiple lower limb fractures Old fracture

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Regular oral Panadol and Tramadol<br>Geriatric (age >65) Patient having traumatic hip fracture will have three weeks of regular prescription of oral Panadol(500mg) and tramadol (50mg) three times a day. Operation will be done within 3 days usually followed by rehabilitation period. | Drug: Panadol 500mg tablet, tramadol 50mg capsule<br>* Regular Panadol 500mg tds with tramadol 50mg capsule tds for 3 weeks after injury<br>* Other names: Endopain, tramadol;|
| Experimental: Panadol and tramadol oral in prn basis<br>Control group is that patient having geriatric hip fracture will have oral analgesics ( Panadol 500mg Q4H and tramadol 50mg Q4H ) in prn basis. | Drug: Paracetamol tablet and Tramadol capsule<br>* Panadol 500mg tablet Q4H prn Tramadol 50mg capsule Q4H prn<br>* Other names: Endpain, tramadol;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Independency Measure(FIM) | FIM including motor and cognitive function of a patient. Motor area covers self care, ambulation, bowel and bladder and etc. | 2 years | 
| Elderly Mobility Score | It is to assess mobility in frail elderly people. A final score rangeing from 0-20 is assigned during several time-point of rehabilitation | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Geriatric hip fracture, pain management