Evidence map›Paper›PMID 32361955›Full record

ArticleArchives of orthopaedic and trauma surgery2021

The continuous infusion fascia iliaca compartment block: a safe and effective analgesic modality in geriatric hip fracture patients.

Kumaran Rasappan, Ivan Tjun Huat Chua, John Boon Lim Tey, Sean Wei Loong Ho

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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05941208 (Efficacy of Continuous Fascia Iliaca Block in Hip Surgery in Elderly), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05941208 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy of Continuous Fascia Iliaca Block in Hip Surgery in Elderly : a Randomized Controlled Clinical Trial

TypeinterventionalSponsorAin Shams UniversityRan2023 to 2023Enrolled26ConditionsHip FracturesArmscontinuous fascia iliaca compartment block
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kumaran RasappanDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore, Singapore. kumaran.rasappan@mohh.com.sg.
Ivan Tjun Huat ChuaDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
John Boon Lim TeyDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hopsital, Singapore, Singapore.
Sean Wei Loong HoDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Tan Tock Seng Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHip fractures are common orthopaedic injuries in the elderly. Opioids can provide peri-operative pain relief in hip fracture patients, but may have side effects. Peripheral nerve blocks such as the fascia iliaca compartment block (FICB) have become an established part of the multimodal analgesic regime administered peri-operatively to hip fracture patients. We compare the efficacy of the continuous infusion FICB (CFICB) on peri-operative pain relief, opioid usage, its associated complications and the short as well as long term rehabilitation status in geriatric hip fractures patients. MATERIALS AND

methodsIn this retrospective matched case control study, 40 geriatric patients with hip fractures who had received the CFICB from Nov 2014 to April 2016 were matched in a 1:3 ratio with similar patients whom had not received the CFICB from our institution's hip fracture database of 913 patients.

resultsA total of 157 patients in both the CFICB group (N = 40) and the control group (N = 117) were studied. The post-operative pain scores and the total opioid consumption during the first 3 days in the CFICB group were significantly less than the control group (p < 0.0001, respectively). The systemic complications in the CFICB group were comparable with the control group. The CFICB group had slower rehabilitation at up to 2 weeks but there was no significant difference at 1 year post surgery in terms of function and mobility between the two groups. In both groups, better pre-fracture function was associated with faster short term rehab outcomes in post-operative patients.

conclusionThe CFICB provides safe and effective post-operative pain relief in geriatric hip fracture patients. Post-operative opioid usage is decreased in older hip fracture patients treated with CFICB. Rehabilitation milestones are slower in the short term, but have no significant difference at 1-year post surgery.

Indexed as

AgedAnalgesics, OpioidCase-Control StudiesHip FracturesHumansNerve BlockPostoperative PainRetrospective StudiesTreatment OutcomeAnalgesics, OpioidContinuous infusion fascia iliaca compartment blockFunctional outcomesGeriatric hip fracturesOpioid usagePain controlRehabilitation outcomes

Identifiers

PMID32361955
OpenAlexW3021503123

What OpenQuestion holds

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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.