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| Name | Class |
|---|---|
| University of Bristol | OTHER |
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Fracture neck of femur is a common cause of hospital admission in the elderly and requires operative fixation.
Dexamethasone has the potential of inhibiting cortisol secretion. In addition, preoperative glucocorticoids improve analgesia and decrease opioid consumption with reduction in associated side effects in a variety of clinical settings.
The investigators hypothesis was that a single dose of preoperative dexamethasone enhance postoperative analgesia and attenuates the inflammatory response in patients undergoing operative fixation of fractured neck of femur, in a prospective, randomized, placebo controled trial.
Having obtained ethical approval and written informed consent from each, 40 patients scheduled to undergo operative fixation of fractured neck of femur will be randomized using sealed envelopes to two groups.
Patients in the Dexamethasone group receive a single dose of 0.1 mg/kg dexamethasone iv. preoperative, patients in the Placebo group receive the same amount of Normal Saline. The anaesthetic technique is standardized, salive samples, blood samples are taken and pain scores are measured on a visual analog scale postoperatively at several timepoints.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexamethasone, 0.1 mg/kg | Experimental | The patients in the Dexamethasone group get iv 0.1 mg/kg dexamethasone preoperative. |
|
| Placebo | Placebo Comparator | In the Placebo group the patients get 0.1 ml/kg normal saline. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexamethasone acetate | Drug | iv. dexamethasone 0.1 mg/kg |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue pain scale at rest and on movement postoperatively | Postoperative in recovery, 6, 12, 24, 48, 72 hourly |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cork University Hospital | Recruiting | Cork | Cork | Ireland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27658581 | Derived | Szucs S, Jessop D, Iohom G, Shorten GD. Postoperative analgesic effect, of preoperatively administered dexamethasone, after operative fixation of fractured neck of femur: randomised, double blinded controlled study. BMC Anesthesiol. 2016 Sep 22;16(1):79. doi: 10.1186/s12871-016-0247-5. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Oct 27, 2014 | |
| Reset | Oct 29, 2014 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Oct 27, 2014 | Oct 29, 2014 |
| ID | Term |
|---|---|
| D005265 | Femoral Neck Fractures |
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| C018038 | dexamethasone acetate |
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| Placebo |
| Drug |
iv. Normal Saline 0.1 ml/kg |
|
| D025981 |
| Hip Injuries |
| D007869 | Leg Injuries |