SynthesisThe Cochrane database of systematic reviews2002
Nerve blocks (subcostal, lateral cutaneous, femoral, triple, psoas) for hip fractures.
Synthesis in The Cochrane database of systematic reviews, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Peripheral nerve blocks for hip fractures in adults.The Cochrane database of systematic reviews · 2020Pooled it
- Peripheral nerve blocks for hip fractures.The Cochrane database of systematic reviews · 2017Pooled it
- Anaesthesia for hip fracture surgery in adults.The Cochrane database of systematic reviews · 2016Pooled it
- Mode of anesthesia, mortality and outcome in geriatric patients.Zeitschrift fur Gerontologie und Geriatrie · 2014Pooled it
- Ultrasound-guided nerve blocks for intracapsular and extracapsular hip fractures.The American journal of emergency medicine · 2016Trial
- Femoral nerve block Intervention in Neck of Femur fracture (FINOF): study protocol for a randomized controlled trial.Trials · 2014Trial
- Management and optimisation in the preoperative phase for patients with a fractured hip.EFORT open reviews · 2026Review
- Femoral nerve blocks versus standard pain control for hip fractures: a retrospective comparative analysis.Clinical and experimental emergency medicine · 2024Article
- The Effects of the Pericapsular Nerve Group Block on Postoperative Pain in Patients with Hip Fracture: A Multicenter Study.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- Fascia Iliaca Compartment Block for Hip Fractures: Improving Clinical Practice by Audit.Cureus · 2021Article
- Nerve Blocks in the Geriatric Patient With Hip Fracture: A Review of the Current Literature and Relevant Neuroanatomy.Geriatric orthopaedic surgery & rehabilitation · 2017Review
- Using Care Bundles to Improve Surgical Outcomes and Reduce Variation in Care for Fragility Hip Fracture Patients.Geriatric orthopaedic surgery & rehabilitation · 2017Article
- A survey of emergency medicine and orthopaedic physicians' knowledge, attitude, and practice towards the use of peripheral nerve blocks.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Article
- Improving analgesia in fractured neck of femur with a standardised fascia iliaca block protocol.BMJ quality improvement reports · 2016Article
- Recent advances in the treatment of hip fractures in the elderly.F1000Research · 2016Review
- A Prospective Observational Cohort Study on Orthopaedic and Anaesthetic Registrars Performing Femoral Nerve Block on Patients with an Acute Hip Fracture.Surgery research and practice · 2016Article
- A new future for hip fracture care--orthogeriatrician lead in an 'Acute' Hip Unit.Clinical medicine (London, England) · 2014Article
- Ultrasound-guided regional anesthesia for the pain management of elderly patients with hip fractures in the emergency department.Clinical and experimental emergency medicine · 2014Article
- Survey of Current Practices: Peripheral Nerve Block Utilization by ED Physicians for Treatment of Pain in the Hip Fracture Patient Population.Canadian geriatrics journal : CGJ · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious nerve blocks using local anaesthetic agents have been used in order to reduce pain after hip fracture.
objectivesTo determine the effects of nerve blocks (inserted either pre-operatively, operatively or post-operatively) as part of the treatment for a hip fracture. SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group specialised register (October 2001), MEDLINE -OVID WEB (1996 to October 2001) and reference lists of relevant articles. SELECTION CRITERIA: Randomised and quasi-randomised trials involving the use of nerve blocks as part of the care of a hip fracture patient. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial quality, by use of a nine item scale, and extracted data. Wherever appropriate, results of outcome measures were pooled. MAIN
resultsEight randomised or quasi-randomised trials involving 328 patients were included. Three trials related to insertion of a nerve block pre-operatively and the remaining five to peri-operative insertion. Nerve blocks resulted in a reduction of the quantity of parenteral or oral analgesia administered to control pain from the fracture/operation or during surgery and/or a reduction in reported pain levels. It was not possible to demonstrate if this reduction in analgesia use was associated with any other clinical benefit. REVIEWER'S
conclusionsBecause of the small number of patients included in this review and the differing type of nerve blocks and timing of insertion, it is not possible to determine if nerve blocks confer any significant benefit when compared with other analgesic methods as part of the treatment of a hip fracture. Further trials with larger numbers of patients and full reporting of clinical outcomes would be justified.
Indexed as
Identifiers
11869594What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.