Pain Management Interventions for Hip Fracture
Conclusions About Benefits and Adverse Events
Overall, there is limited evidence about the comparative effectiveness, benefits, and harms of pain management interventions used for elderly patients with hip fracture.
There is moderate strength of evidence in the finding that nerve blocks reduce pain and the incidence of delirium when compared with usual care alone.
There is low strength of evidence in the finding that preoperative traction does not improve relief from acute pain.
For all modalities, including those most commonly used (acetaminophen, NSAIDs, and opioids), the evidence is inadequate to estimate harms and the incidence of common adverse events in elderly patients with hip fracture.
Keywords: adverse events | benefits | benefits and harms | delirium | effectiveness | nerve blocks | pain | pain management | traction | hip fracture
- Abou-Setta AM, Beaupre LA, Jones CA, et al. Pain Management Interventions for Hip Fracture. AHRQ Comparative Effectiveness Review No. 30 (Prepared by the University of Alberta Evidence-based Practice Center under Contract No. 290-02-0023). Rockville, MD: Agency for Healthcare Research and Quality; May 2011. AHRQ Publication No. 11-EHC022-EF.
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