[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"hip-fractures-ie-femoral-neck-or-intertrochanteric-hip-fractures\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:hip-fractures-ie-femoral-neck-or-intertrochanteric-hip-fractures":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,46],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100651586","ficb-for-hip-fracture-pain-in-elderly-100651586",false,"NCT07762846","FICB for Hip Fracture Pain in Elderly","The Early Intervention of Fascia Iliaca Compartment Block (FICB) as Pain Management for Elderly Patients With Hip Fracture to Improve Postoperative Rehabilitation: A Prospective Randomized Controlled Study","FICB-PREP","Inclusion Criteria:\n\n* Age ≥ 65 years\n* Diagnosis of unilateral hip fracture (including femoral neck fracture or intertrochanteric fracture) confirmed by any imaging modality (X-ray, CT, or MRI)\n* Scheduled for hip fracture surgery under general anesthesia with endotracheal intubation (including total hip arthroplasty, hemiarthroplasty, intertrochanteric intramedullary nail fixation, closed reduction and internal fixation, etc.)\n* American Society of Anesthesiologists (ASA) physical status classification I-III\n* Able to provide written informed consent personally or via a legally authorized representative\n* Able to communicate normally in Chinese\n\nExclusion Criteria:\n\n* Known allergy to ropivacaine, bupivacaine, or liposomal bupivacaine\n* Presence of any contraindication to nerve block, including but not limited to: nerve injury, coagulopathy, severe infection at the injection site, exudate at the injection site, etc.\n* Pre-existing psychiatric or neurological disorders, including but not limited to: depression, severe central nervous system depression, Parkinson's disease, basal ganglia lesions, schizophrenia, epilepsy, Alzheimer's disease, myasthenia gravis\n* Pre-existing severe cardiac, pulmonary, hepatic, or renal dysfunction, including but not limited to: history of heart failure, requiring dialysis, etc.\n* Inability to communicate preoperatively (e.g., coma, dementia)\n* Preoperative pain score \\\u003C 4 on Visual Analog Scale (VAS) or chronic\u002Fold hip fracture\n* Currently participating in another interventional clinical trial\n* Any other condition that, in the opinion of the investigator, would preclude evaluation of the therapeutic response or make it unlikely that the patient will complete the expected treatment course and follow-up","ALL","65 Years",{"count":20,"type":21},144,"ESTIMATED","INTERVENTIONAL",[24],"NA","Hip fracture is a common injury in elderly patients, often requiring surgical treatment. However, these patients frequently experience severe postoperative pain, which can delay mobility and recovery, and increase the risk of complications such as delirium, pneumonia, and prolonged hospital stay.\n\nThe fascia iliaca compartment block (FICB) is a regional anesthesia technique that has been shown to provide effective pain relief for hip fracture patients. This study aims to investigate whether early administration of FICB, performed upon hospital admission before surgery, can improve postoperative rehabilitation outcomes in elderly patients with hip fracture.\n\nThis is a prospective, randomized, controlled study. A total of 144 elderly patients with hip fracture will be randomly assigned to either the FICB group or the control group. The FICB group will receive ultrasound-guided FICB after being admitted to the orthopaedic ward, while the control group will receive standard analgesic care once inside the operating room.\n\nThe primary outcome measure is Quality of Recovery-15 score (QoR-15 score) 24 hours post-surgery. Secondary outcomes include: QoR-15 score at 48 hours postoperatively, NRS scores and sleep duration and quality scores at preoperative and various postoperative time points, total perioperative consumption of opioids and other analgesic drugs, extubation time and emergence agitation during anesthesia recovery period, incidence of delirium from postoperative period to before discharge, length of hospital stay, and overall satisfaction score with pain management.\n\nThe hypothesis of this study is that early FICB intervention, compared to standard care, will lead to better pain control, earlier mobilization, shorter hospital stay, and improved overall postoperative recovery in elderly patients with hip fracture.",[27,28,29,30,31,32],"Hip Fractures (i.e. Femoral Neck or Intertrochanteric Hip Fractures)","Postoperative Pain","QoR-15","Fascia Iliaca Block","Recovery of Function (G11.427.698.620)","Elderly","NOT_YET_RECRUITING","2026-08-12",{"date":36,"type":37},"2026-08-13","ACTUAL",{"date":39,"type":21},"2026-08",{"date":41,"type":21},"2027-12",{"name":43,"class":44},"RenJi Hospital","OTHER",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":52,"eligibilityCriteria":53,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":54,"targetDuration":4,"studyType":56,"phases":4,"briefSummary":57,"conditions":58,"keywords":62,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":45},"100646666","improving-shared-decision-making-in-older-hip-fracture-patients-living-with-frailty-100646666","NCT07687108","Improving Shared DECISion-making in oldEr Hip Fracture Patients Living With Frailty","The DECIDE-HIP Study: Improving Shared DECISion-making in oldEr Hip Fracture Patients Living With Frailty","DECIDE-HIP","PHASE 1 ELIGIBILITY CRITERIA\n\nInclusion Criteria:\n\n* Aged ≥65\n* Fragility fracture of the proximal femur defined as a fall from standing height or less from August 2021 to present\n* Electronic frailty index (eFI) or eFI2 score in the 12 months preceding hip fracture for CPRD data; American Society of Anesthesiologists (ASA) Physical Status grade for NHFD data\n\nExclusion Criteria:\n\n* Age \\\u003C65\n* Femoral shaft or distal femur fractures, periprosthetic fractures, and pathological fractures.\n\nPHASE 2 ELIGIBILITY CRITERIA\n\nGroup 1 - Patients\n\nInclusion criteria:\n\n* Age ≥65\n* Admitted to a trauma and orthopaedic ward at University Hospital Southampton following a fragility fracture of the hip\n\nExclusion criteria:\n\n* Distal femoral shaft fractures, periprosthetic fractures, pathological fractures\n* Non-fragility fractures, defined as a fracture due to a force greater than falling from a standing height\n\nGroup 2 - Families and carers\n\nInclusion criteria:\n\n* Age ≥18\n* Carer or next of kin for a person meeting the eligibility criteria for group 1\n\nExclusion criteria:\n\n\\- Do not have the capacity to consent to participation in the study.\n\nGroup 3 - Local healthcare professionals\n\nInclusion criteria:\n\n* Registered healthcare professionals involved in acute hip fracture management decisions including physicians, orthopaedic surgeons, anaesthetists, nurses and allied health professionals.\n* Currently work or have worked within the past 6 months at University Hospital Southampton\n\nGroup 4 - European healthcare professionals\n\nInclusion criteria\n\n* Registered healthcare professionals involved in acute hip fracture management decisions including physicians, orthopaedic surgeons, nurses and allied health professionals.\n* Currently work or have worked within the past 6 months in trauma and orthopaedics or orthogeriatrics at a European hospital\n\nEligibility criteria - Phase 3\n\nInclusion criteria:\n\n* Age ≥65\n* Admitted to a trauma and orthopaedic ward at University Hospital Southampton following a fragility fracture of the hip\n\nExclusion criteria:\n\n* Distal femoral shaft fractures, periprosthetic fractures, pathological fractures\n* Non-fragility fractures, defined as a fracture due to a force greater than falling from a standing height\n* Do not have the capacity to consent in accordance with the Mental Capacity Act 2005",{"count":55,"type":21},42,"OBSERVATIONAL","Title Improving shared decision-making in older hip fracture patients living with frailty\n\nAim To use routinely information normally collected by the NHS, and interviews with patients, families, and healthcare professionals, to produce an aid to help patients make decisions about hip fracture treatment that reflects what is important to them.\n\nBackground Breaking a hip after a fall is common in older adults. The risk of dying is high after a hip fracture, especially if the person does not have surgery. Most UK patients have surgery even if they are very frail. Patients who are at a very high risk of dying still have surgery to help control the pain. However, this is not the same in all countries and recent studies show pain can be well controlled with medications and nerve-numbing drugs.\n\nWhilst the risk of dying is still much higher without surgery, to some frail older adults there are more important things to them than living longer like being able to walk and look after themselves. Some people may choose end-of-care instead of an operation if surgery means they won't be able to do these things afterwards. To help frail older people make the decision that is best for them, they need information about all treatment options and what their life is likely to be like after. This information needs to be easy to understand.\n\nWhy the research is important This research will give frail older people with hip fractures the information they need to make decisions that focus on what is most important to them. We will make a guide to present the information in a way that is easy to understand and will help patients make decisions alongside healthcare professionals.\n\nDesign\n\nWe will complete 4 Work Packages (WPs):\n\nWP1: What do we already know about the link between frailty and the ability for older people to move and look after themselves after hip fracture? • We will review all current studies that look at what frail older peoples' lives are like after having a hip fracture and combine all the information in these studies. This will stop us from repeating work already done and show us any gaps in knowledge.\n\nWP2: Can we use how frail someone is and other information to predict their ability to move and look after themselves after a hip fracture?\n\n• We will use data the NHS collects to explore links between frailty, health and social issues, and a person's ability to move, walk, and care for themselves after hip fracture. I will see if these factors predict which people will do better after a hip fracture.\n\nWP3: What factors affect treatment decisions in frail adults with a hip fracture? • We will interview older hip fracture patient with frailty, families, and healthcare staff to explore how decisions are made about hip fractures and how we can improve this.\n\nWP4: Creating and testing an aid to help older patients with frailty make decisions about hip fracture treatment\n\n• We will work with patients to design a decision aid to improve shared decision-making in hip fracture care. We will test out the aid on orthopaedic wards in Southampton and improve it based on feedback.",[27,59,60,61],"Hip Fractures (ICD-10 72.01-72.2)","Hip Fracture","Hip Fracture, Post Surgery Recovery, Muscle Resilience",[63,64,65,66,67,68,69,70,71,72,73],"functional outcomes","frailty","decision aid","shared decision making","qualitative","semi-structured interviews","routinely collected data","hip fracture","quality of life","function","mobility","2026-06-29",{"date":76,"type":37},"2026-07-07",{"date":78,"type":21},"2026-10-01",{"date":80,"type":21},"2029-02-07",{"name":82,"class":44},"University of Southampton"]