Comparison of emergency department management of patients presenting with isolated hip fracture: comparison of methods used in pain management, monitoring, and treatment; comparison of hospitalization durations; comparison of mortality
Patient demographics, mechanism of injury, femur fracture classification, associated treatments, pre-procedural pain scoring, post-procedural pain scoring, orthopedic consultation, and patient outcomes (discharge, admission to ward or ICU, mortality) will be recorded on the data form. For acute pain management, the timing of treatment administration, effectiveness of the applied method based on pre- and post-procedural pain scoring systems will be assessed. Post-procedural pain scores will be collected at 30, 60, and 120 minutes. Long-term complications as a result of hospitalization following emergency department follow-ups will include monitoring on days 7 and 21 for mortality and morbidity. The patients will be analyzed in 5 groups based on the treatments administered in the emergency department. 1. IV Opioid 2. IV NSAID 3. IV acetaminophen 4. Femoral nerve block 5. PENG block The researcher will not interfere with the treatment decision made by the responsible physician or the treatment process
Study Type
OBSERVATIONAL
Enrollment
155
Etlik City Hospital
Ankara, Yenimahalle, Turkey (Türkiye)
effective analgesia after receiving treatment
patients will be evaluated before and after analgesic treatments according to pain scales ( visual analogue scale, verbal pain intensity scale, PAINAD ( pain assessment in advanced dementia) scale andvisual analogue scale), effective pain management will be primary outcome
Time frame: 24 hours
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