Evidence map›Paper›PMID 40221676›Full record

Trial reportBMC anesthesiology2025

Timing of suprainguinal fascia iliaca block in hip hemiarthroplasty: impact on QoR-15 scores- a prospective randomized study.

Ergun Mendes, Ozal Adiyeke, Onur Sarban, Melih Civan, Funda Gumus Ozcan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05965544 (The Effect of Application of Fascia Iliaca Compartment Block), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05965544 nacompletednot on this map

The Effect of Application of Fascia Iliaca Compartment Block (FICB) Before or After Spinal Anesthesia on QoR-15 Score in Partial Hip Arthroplasty Surgery

TypeinterventionalSponsorBaşakşehir Çam & Sakura City HospitalRan2023 to 2024Enrolled60ConditionsPost Operative Pain, Anesthesia, Local, Fracture of Hip, QoR-15ArmsBupivacain (preoperative), Bupivacaine-fentanyl, Bupivacain (Postoperative)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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

5 authors.

Ergun MendesDepartment of Anesthesiology and Reanimation, Koç University Faculty of Medicine Hospital, Istanbul, Turkey. erg.mendes@gmail.com.
Ozal AdiyekeDepartment of Anesthesiology and Reanimation, Istanbul Basaksehir Cam and Sakura City Health Application and Research Center, University of Health Sciences, Istanbul, Turkey.
Onur SarbanDepartment of Anesthesiology and Reanimation, University hospitals of Sussex Nhs Trust, Brighton, UK.
Melih CivanDepartment of Orthopedics, Istanbul Basaksehir Cam and Sakura City Health Application and Research Center, University of Health Sciences, Istanbul, Turkey.
Funda Gumus OzcanDepartment of Anesthesiology and Reanimation, Istanbul Basaksehir Cam and Sakura City Health Application and Research Center, University of Health Sciences, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuprainguinal Fascia Iliaca Compartment Block (SFICB) is a widely utilized technique for managing postoperative pain in hip surgery. The timing of its administration, either preoperative or postoperative, plays a crucial role in influencing patient outcomes. This study aims to compare the effects of preoperative versus postoperative SFICB on postoperative recovery in patients undergoing hip hemiarthroplasty (HHA).

methodsIn this prospective randomized trial, 60 patients scheduled for HHA were randomly assigned to two groups: Group PreS (preoperative SFICB) and Group PostS (postoperative SFICB). SFICB was performed under ultrasound guidance using 0.20% bupivacaine. The primary outcome was assessed using the Quality of Recovery-15 (QoR-15) score at 24 h postoperatively. Secondary outcomes included the Nursing Delirium Screening Scale (N-DSS), postoperative nausea/vomiting (PONV), and opioid consumption.

resultsDemographic variables were comparable between groups (p > 0.05). Spinal anesthesia duration was shorter in Group PreS (p = 0.005), while surgery and total procedure times were similar (p > 0.05). QoR-15 scores improved in both groups, with significant increases in moderate (p = 0.004, p = 0.047) and severe pain (p < 0.001, p = 0.028). At T1, total QoR-15 (p = 0.034) and severe pain score (p < 0.001) were significantly better in Group PreS. Preoperative fentanyl need was lower in Group PreS (p < 0.001). Although first rescue analgesia time was longer in Group PostS (p = 0.026) morphine equivalent consumption (p = 0.564) was similar. N-DSS, delirium incidence, and PONV showed no differences (p > 0.05). No complications were observed.

conclusionsPreoperative SFICB improved postoperative QoR-15 scores compared to postoperative SFICB in elderly HHA patients, but optimal timing and perioperative settings require further research.

trial registrationClinicalTrials.gov (ID NCT05965544). The clinical trial was prospectively registered on July 20, 2023.

Indexed as

HemiarthroplastyNerve BlockPostoperative PainAgedAged, 80 and overAnalgesics, OpioidAnesthetics, LocalBupivacaineFasciaFemaleHumansMaleMiddle AgedPostoperative Nausea and VomitingProspective StudiesTime FactorsAnalgesics, OpioidAnesthetics, LocalBupivacaineFascia iliaca compartment blockHip hemiarthroplastyPain managementPostoperative recoveryQoR-15

Identifiers

PMID40221676
PMCPMC11992869

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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.