Pain Management in Elderly Patients With or Without Cognitive Frailty Hospitalized "ALGOGER"
NCT06056934 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 350
Last updated 2025-03-10
Summary
Today, the standard treatment is to operate on patients suffering from a fracture of the upper end of the femur. The aim of treatment is to enable immediate mobilization and weight-bearing, and as rapid a return as possible to normal living conditions.
Surgery is the best treatment option. It maximizes the chances of functional recovery and, by stabilizing the fracture, reduces pain: it is the most effective and longest-lasting analgesic.
Adequate analgesia in elderly patients with femoral neck fractures has a beneficial effect. In particular, a lower probability of death has been shown in cervical fracture patients receiving opioids than those not receiving them.
Pain management is a matter of protocol in the UPOG department of the CHU de Nîmes.
Pain prevention appears to improve morbidity and mortality. Cognitive fragility, such as neurocognitive disorders, confusion or long-term use of psychotropic drugs, appear to be confounding factors in pain management.
The investigators therefore wished to observe whether the presence of cognitive fragility has an impact on pain management on the ward, despite protocol-based management.
Conditions
- Cognitive Deterioration
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de Nīmes
lead OTHER
Eligibility
- Min Age
- 76 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-03-09
- Primary Completion
- 2023-10-30
- Completion
- 2023-10-30
Countries
- France
Study Locations
More Related Trials
-
Treatment of Proximal Humerus Fractures in the Elderly
NCT02566018 ·Status: COMPLETED
-
Palliative NonOperative Management in Selected Elderly With a Limited Life Expectancy Who Sustained a Hip Fracture
NCT06079905 ·Status: ENROLLING_BY_INVITATION
-
Proximal Femoral Fractures - Patient Population, Risk Factors, Surgical Performance and Outcome
NCT03768622 ·Status: COMPLETED
-
Evaluation of Perioperative Management of Curative Anticoagulants in the Geriatric Perioperative Unit in Patient Hospitalized for Femoral Neck Fracture.
NCT05286671 ·Status: COMPLETED
-
Analysis of the Relationship Between Early Postoperative Anemia and the Evolution of Autonomy at 6 Months in Patients 75 Years of Age and Older Operated on Following a Fracture of the Upper End of the Femur
NCT03810092 ·Status: COMPLETED
-
Mortality of Patients Undergoing Fracture of the Upper Extremity u Femur at the University Hospital of Amiens
NCT03117868 ·Status: COMPLETED
-
ProspEctive Cohort Study on Multidisciplinary Approach to Femur FRactures' manAgement in Over 65 Population
NCT04127045 ·Status: COMPLETED
-
On the Impact of Bleeding on Two Strategies Osteosynthesis of Trochanteric Fractures
NCT01427036 ·Status: COMPLETED ·Phase: NA
-
Assessment of a Procedure for Managing Oral Anticoagulants (NACO) in the Management of Fractures
NCT06220422 ·Status: COMPLETED
-
Conservative vs Surgical Treatment for Proximal Humerus Fractures in the Elderly
NCT02913378 ·Status: UNKNOWN ·Phase: NA
-
Impact of Regional Anesthesia on Blood Pressure in Humeral Fracture Surgery
NCT05153902 ·Status: COMPLETED
-
Effect of Single vs Multiple Prophylactic Antibiotic Doses on PJI Following Primary THA in Patients With a Fracture
NCT05530174 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Ankle Fracture Treatment in the Elderly
NCT01444144 ·Status: COMPLETED
-
Improving Pain and Function in Hip Fracture
NCT00749489 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of Health and Social Interventions Aimed to Old People Discharged From Hospital After a Hip or Wrist Fracture Due to a Fall
NCT02802358 ·Status: COMPLETED
-
Comparison Between Anterior Approach (Deltopectoral) and Lateral Approach (Deltoid Splitting) in Shoulder Reverse Arthroplasty for Proximal Humerus Fracture
NCT03694457 ·Status: COMPLETED ·Phase: NA
-
Evidence Based Algorithm for Proximal Humerus Fractures
NCT03464578 ·Status: COMPLETED
-
The Comparison of Comprehensive Multi-disciplinary Program and Conventional Care Program on Fragility Fracture Elderly
NCT01382875 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Osteosynthesis, Primary Hemi-arthroplasty, and Non-surgical Management for Fractures of the Proximal Humerus
NCT00835562 ·Status: UNKNOWN ·Phase: PHASE3
-
Femoral frACturEs and COVID-19.
NCT04657510 ·Status: UNKNOWN
-
Radiologist Diagnostic Performance Versus Artificial Intelligence (AI)
NCT04304742 ·Status: COMPLETED
-
Effect of a Robotic Platform for Hip Fracture Rehab
NCT05079555 ·Status: COMPLETED ·Phase: NA
-
Study on Outcomes of Proximal Humerus Fractures
NCT07060664 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cemented vs Non-cemented Semiendoprosthesis in the Treatment of Proximal Femoral Fractures
NCT00859378 ·Status: UNKNOWN ·Phase: NA
-
Determinants of Function and Clinically Important Outcomes in Proximal Humerus Fractures
NCT02212600 ·Status: UNKNOWN