Emergency Department Management of Femur Fractures

NCT ID: NCT06531564

Last Updated: 2024-08-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

155 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-01

Study Completion Date

2024-02-01

Brief Summary

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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

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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

Conditions

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Femur Fracture Pain, Joint Analgesia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Opioid group

patients receiving intravenous opioid agents after femur fracture

No interventions assigned to this group

NSAID

patients receiving intravenous NSAID agents after femur fracture

No interventions assigned to this group

acetaminophen

patients receiving intravenous acetaminophen after femur fracture

No interventions assigned to this group

Femoral nerve block

patients receiving femoral nerve blocking treatment after femur fracture

No interventions assigned to this group

PENG block

patients receiving PENG blocking treatment after femur fracture

No interventions assigned to this group

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ankara Etlik City Hospital

OTHER_GOV

Sponsor Role collaborator

Saglik Bilimleri Universitesi

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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gulsen akcay, ass. prof.

Role: STUDY_DIRECTOR

ass. prof. of organization

Locations

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Etlik City Hospital

Ankara, Yenimahalle, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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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.

Reference Type BACKGROUND
PMID: 36304813 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 35567676 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 35701386 (View on PubMed)

Other Identifiers

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isolated femur fracture

Identifier Type: -

Identifier Source: org_study_id

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