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Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial

BACKGROUND: Preoperative analgesia of hip fracture in elderly patients is important, but it is also lacking. In particular, nerve block was not provided in time. In order to provide more effective analgesia, we designed a multimodal pain management mode based on instant messaging software. METHODS:...

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Autores principales: Shen, Yang, Liu, Wei, Zhu, Zhe, Liu, Shuangmei, Cao, Yanyan, Yan, Lei, Chen, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061705/
https://www.ncbi.nlm.nih.gov/pubmed/36991402
http://dx.doi.org/10.1186/s12877-023-03905-2
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author Shen, Yang
Liu, Wei
Zhu, Zhe
Liu, Shuangmei
Cao, Yanyan
Yan, Lei
Chen, Liang
author_facet Shen, Yang
Liu, Wei
Zhu, Zhe
Liu, Shuangmei
Cao, Yanyan
Yan, Lei
Chen, Liang
author_sort Shen, Yang
collection PubMed
description BACKGROUND: Preoperative analgesia of hip fracture in elderly patients is important, but it is also lacking. In particular, nerve block was not provided in time. In order to provide more effective analgesia, we designed a multimodal pain management mode based on instant messaging software. METHODS: From May to September 2022, a total of 100 patients with unilateral hip fracture aged over 65 were randomly divided into the test group and the control group. Finally, 44 patients in each group completed the result analysis. A new pain management mode was used in the test group. This mode focuses on the full information exchange between medical personnel in different departments, early fascia iliaca compartment block (FICB), and closed-loop pain management. Outcomes include the time when FICB is completed for the first time; The number of cases of FICB completed by emergency doctors; Patients' pain score, pain duration. RESULTS: The time for patients in the test group to complete FICB for the first time was 3.0 [1.925–3.475] h, which was less than the time for patients in the control group (4.0 [3.300–5.275] h). The difference was statistically significant (P < 0.001). Compared with 16 patients in the control group, 24 patients in the test group completed FICB by emergency doctors, and there was no statistical difference between the two groups (P = 0.087). The test group was superior to the control group in the highest NRS score (4.00 [3.00–4.00] vs 5.00 [4.00–5.75]), the duration of the highest NRS score (20.00 [20.00–25.00] mins vs 40.00 [30.00–48.75] mins), and the NRS > 3 time (35.00 [20.00–45.00] mins vs 72.50 [60.00–45.00] mins). The analgesic satisfaction of patients in the test group (5.00 [4.00–5.00]) was also significantly higher than that of the control group (3.00 [3.00–4.00]). The above four indexes were different between the two groups (P < 0.001). CONCLUSIONS: Using instant messaging software, the new model of pain management can enable patients to receive FICB as soon as possible and improve the timeliness and effectiveness of analgesia. TRIAL REGISTRATION: Chinese Clinical Registry Center, ChiCTR2200059013, 23/04/2022.
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spelling pubmed-100617052023-03-31 Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial Shen, Yang Liu, Wei Zhu, Zhe Liu, Shuangmei Cao, Yanyan Yan, Lei Chen, Liang BMC Geriatr Research BACKGROUND: Preoperative analgesia of hip fracture in elderly patients is important, but it is also lacking. In particular, nerve block was not provided in time. In order to provide more effective analgesia, we designed a multimodal pain management mode based on instant messaging software. METHODS: From May to September 2022, a total of 100 patients with unilateral hip fracture aged over 65 were randomly divided into the test group and the control group. Finally, 44 patients in each group completed the result analysis. A new pain management mode was used in the test group. This mode focuses on the full information exchange between medical personnel in different departments, early fascia iliaca compartment block (FICB), and closed-loop pain management. Outcomes include the time when FICB is completed for the first time; The number of cases of FICB completed by emergency doctors; Patients' pain score, pain duration. RESULTS: The time for patients in the test group to complete FICB for the first time was 3.0 [1.925–3.475] h, which was less than the time for patients in the control group (4.0 [3.300–5.275] h). The difference was statistically significant (P < 0.001). Compared with 16 patients in the control group, 24 patients in the test group completed FICB by emergency doctors, and there was no statistical difference between the two groups (P = 0.087). The test group was superior to the control group in the highest NRS score (4.00 [3.00–4.00] vs 5.00 [4.00–5.75]), the duration of the highest NRS score (20.00 [20.00–25.00] mins vs 40.00 [30.00–48.75] mins), and the NRS > 3 time (35.00 [20.00–45.00] mins vs 72.50 [60.00–45.00] mins). The analgesic satisfaction of patients in the test group (5.00 [4.00–5.00]) was also significantly higher than that of the control group (3.00 [3.00–4.00]). The above four indexes were different between the two groups (P < 0.001). CONCLUSIONS: Using instant messaging software, the new model of pain management can enable patients to receive FICB as soon as possible and improve the timeliness and effectiveness of analgesia. TRIAL REGISTRATION: Chinese Clinical Registry Center, ChiCTR2200059013, 23/04/2022. BioMed Central 2023-03-30 /pmc/articles/PMC10061705/ /pubmed/36991402 http://dx.doi.org/10.1186/s12877-023-03905-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Shen, Yang
Liu, Wei
Zhu, Zhe
Liu, Shuangmei
Cao, Yanyan
Yan, Lei
Chen, Liang
Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
title Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
title_full Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
title_fullStr Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
title_full_unstemmed Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
title_short Application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
title_sort application of a preoperative pain management mode based on instant messaging software in elderly hip fracture patients: a randomized controlled trial
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061705/
https://www.ncbi.nlm.nih.gov/pubmed/36991402
http://dx.doi.org/10.1186/s12877-023-03905-2
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