Clinical trial NCT06531564: Emergency Department Management of Femur Fractures
Official title: Emergency Department Management of Isolated Femur Fracture Patients
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Femur Fracture
Pain, Joint
Analgesia
Keywords: isolated femur fracture
analgesia
emergency department
nerve block
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
Collaborators: name: Ankara Etlik City Hospital
First posted: 2024-08-01
Enrollment: 155
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: patients over the age of 18 years administered to emergency department with isolated femur fracture receving analgesia

Brief summary: 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

Detailed 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

Eligibility criteria: 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

Primary outcomes:
measure: effective analgesia after receiving treatment
timeFrame: 24 hours
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Etlik City Hospital
state: Yenimahalle
Study officials:
affiliation: ass. prof. of organization
name: gulsen akcay, ass. prof.
role: STUDY_DIRECTOR
References:
citation: Simic A, Nesek Adam V, Rosic D, Kocet N, Svetec M, Herceg A, Keranovic A, Rasic Z. PERIPHERAL NERVE BLOCKS FOR HIP FRACTURES IN EMERGENCY MEDICINE. Acta Clin Croat. 2022 Jun;61(Suppl 1):78-83. doi: 10.20471/acc.2022.61.s1.13.
citation: Thiam CN, Khor HM, Pang GHM, Lim WC, Shanmugam T, Chandrasekaran CSK, Singh S, Zakaria MIB, Ong T. Hip fracture management in the emergency department and its impact on hospital outcomes: a retrospective cross-sectional analysis. Eur Geriatr Med. 2022 Oct;13(5):1081-1088. doi: 10.1007/s41999-022-00654-0. Epub 2022 May 14.
citation: Fahey A, Cripps E, Ng A, Sweeny A, Snelling PJ. Pericapsular nerve group block for hip fracture is feasible, safe and effective in the emergency department: A prospective observational comparative cohort study. Emerg Med Australas. 2022 Dec;34(6):884-891. doi: 10.1111/1742-6723.14013. Epub 2022 Jun 14.