Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
The impact of loco-regional anaesthesia on postoperative opioid use in elderly hip fracture patients: an observational study.
Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Effect of Regional Anesthesia vs. General Anesthesia Technique on Perioperative Outcomes in Geriatric Patients With Hip Fracture: Narrative Review.Anesthesiology research and practice · 2026Review
- Postoperative Delirium Following Continuous Fascia Iliaca Compartment Block in Elderly Patients with Hip Fracture: A Case Series and Literature Review.Local and regional anesthesia · 2026Article
- Study on the mechanism of Dexmedetomidine's effect on postoperative cognitive dysfunction in elderly people.Frontiers in physiology · 2025Review
- Preoperative goal directed therapy in geriatric hip fracture patients - a retrospective quality improvement study.BMC geriatrics · 2024Article
- Peripheral Nerve Blocks for Hip Fractures.Journal of clinical medicine · 2024Review
- Is locoregional anesthesia for hip fracture a valid third option for high-risk patients?Anaesthesiology intensive therapy · 2024Article
- Variability of Prehospital Pain Management Protocols: A Review of Prehospital Care Protocols in the United States.Open access emergency medicine : OAEM · 2024Review
- Rib Fracture Management in Older Adults: A Scoping Review.Journal of Brown hospital medicine · 2023Review
- Suprainguinal fascia iliaca block combined with a sacral erector spinae plane (S-ESP) block is a valid alternative for hip fracture surgery in frail patients.Saudi journal of anaesthesiaArticle
- Comparative study lumbar plexus block and lumbar erector spinae plane block for postoperative pain relief after proximal femoral nail for proximal femoral fractures.Saudi journal of anaesthesiaArticle
- A novel technique of peripheral nerve blocks and sedation as primary anesthetic technique for adult emergency hip fracture surgery: A retrospective propensity matched study.Saudi journal of anaesthesiaArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHip fractures are a common health problem among the elderly with an increasing incidence. They are associated with high mortality and morbidity. Optimal pain management remains challenging and inadequate pain control is known for negatively affecting outcomes. Loco-regional anaesthetics (LRA) have been proven to benefit pain management and to lower the risks of opioid use and -related side effects. We aimed to evaluate the use and efficacy of different LRA in elderly hip fracture patients.
methodsSingle-center cohort study of elderly hip fracture patients, who were treated in central Switzerland. We compared patients who received LRA in the form of a femoral nerve block (FNB) or a continuous femoral nerve catheter (CFNC) with patients who did not receive LRA. Primary outcomes were pain-as measured in perioperative morphine use-hospital length of stay (HLOS), postoperative complications, postoperative falls and mortality.
results407 patients were included for analysis. Mean age was 85.2 (SD6.3). There was a significant difference in intraoperative morphine use between the groups (p = 0.007). Postoperative morphine use differed significantly and was lowest in patients with FNB and highest in patients without LRA (p < 0.001). The use of LRA was a significant predictor for postoperative morphine use for postoperative morphine use at the recovery room and for postoperative morphine use 48 h after surgery. No significant differences were found in postoperative complications, a significant difference was found in 1-year mortality.
conclusionsThis article shows that LRA in the form of FNB and CFNC causes a significant decrease in postoperative opioid consumption. Differences between single-shot FNB or CFNC were minimal. There were no significant differences in clinical outcomes such as HLOS, delirium, 30-day and 90-day mortality and postoperative falls. We suggest that use of LRA should be incorporated in the perioperative treatment of elderly patients with a hip fracture. For future research, we recommend evaluating the number of postoperative complications and mortality.
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