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We changed the study design.
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The purpose of this voluntary research study is to clarify whether or not a single injection nerve block done before surgery and after surgery nerve block catheter can effectively enhance recovery in elderly hip fracture patients in terms of reduced delirium, reduced length of stay and improved surgical and anesthesia outcomes. Delirium is a serious change in mental abilities. It results in confused thinking and a lack of awareness of someone's surroundings. The disorder usually comes on fast - within hours or a few days. Prolonged hospital stay is one of the risk factors for onset of delirium.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Local anesthesia to treat hip fracture in geriatric patients | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ropivacaine | Drug | The nerve block is performed when the patients are admitted to the hospital with diagnosed hip fractures. And another nerve block with catheter is performed for post-operative pain control in geriatric population with 0.25% Ropivacaine 30mls. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Control | Pain control is determined by the Likert pain scale, where 0 is no pain and 10 as severe pain | up to 48 hours post hospital admission. |
| Opioid Use | Identification of opioid use via the EMR, Opioids usage is measured at as number of morphine equivalents during the hospital admission. | up to 48 hours post hospital admission. |
| Measure | Description | Time Frame |
|---|---|---|
| Delirium score | Delirium score is calculated using the FLACC score, where FLACC score of 0 is relaxed and comfortable and FLACC score of 7-10 is severe delirium. | up to 48 hours post hospital admission. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shubha Srinivasareddy, MD | Penn State Health | Principal Investigator |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| D007869 |
| Leg Injuries |
| D000588 |
| Amines |