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U/S Guided Regional Anesthesia for Hip Fracture (EDU-RAPID Trial)
N/A
Waitlist Available
Research Sponsored by Sunnybrook Health Sciences Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up time of injury to 1 year follow-up
Awards & highlights
EDU-RAPID Trial Summary
This study is evaluating whether training ED physicians on how to use the nerve freezing technique will reduce the number of patients who develop delirium after a hip fracture.
Eligible Conditions
- Hip Fracture
- Delirium
EDU-RAPID Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ time of injury to 1 year follow-up
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~time of injury to 1 year follow-up
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Overall rate of incident delirium
Delirium
Secondary outcome measures
Adverse events, including in-hospital falls, cardiovascular events and deaths; Hospital length of stay
Cognitive Assessment Method (CAM) status (CAM + or CAM -) measurement at hospital discharge
Complications from the regional anesthesia including hematoma and persistent nervous dysfunction
+9 moreEDU-RAPID Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: U/S Guided Regional AnesthesiaExperimental Treatment2 Interventions
Fascia-Iliaca Block(FIB) Femoral Nerve Block(FNB)
All participating emergency physicians (EPs) will be randomly assigned to the order they receive training in a stepped wedge design. Thus all EPs will begin the trial as "control physicians". EPs will then be trained to use two approaches to ultrasound (U/S) guided regional anesthesia, the fascia iliaca and femoral nerve blocks. Which block that will be used will be randomly determined at the individual patient level
Group II: Current Local Standard AnalgesiaActive Control1 Intervention
All participating emergency physicians (EPs) will be randomly assigned to the order they receive training in a stepped wedge design. Thus all EPs will begin the trial as "control physicians". Physicians who are in the control group will provide current local standard of analgesic care for hip fracture patients such as the use of IV opiods with supplemental acetaminophen and non-steroidal anti-inflammatory agents until they receive training.
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Who is running the clinical trial?
Sunnybrook Health Sciences CentreLead Sponsor
656 Previous Clinical Trials
1,549,822 Total Patients Enrolled
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