Haddad 1995.
Methods | RCT Setting: United Kingdom Funding: unspecified |
|
Participants | Orthopaedic hospital in Stevenage, UK
50 participants with an extracapsular hip fracture
Mean age: 77 years (range 68‐89)
Percentage male: 30%
Lost to follow‐up: none Excluded: dementia, unable to rate their pain |
|
Interventions |
Treatment group: femoral nerve block inserted at the time of admission using 0.3 mL/kg 0.25% bupivacaine (n = 25) Control group: no injection (n = 25) |
|
Outcomes | Pneumonia Mortality Wound infection Pressure sores No local or systemic complications of femoral nerve blocks |
|
Notes | Length of follow‐up: 24 hours for analgesia, unclear for other outcomes ("short term"; taken as in hospital) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Sealed envelopes |
Allocation concealment (selection bias) | Low risk | Sealed envelopes |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No placebo injections used |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Admitting house surgeons and nursing staff who administered analgesia were unaware to which group participants had been allocated |
Incomplete outcome data (attrition bias) All outcomes | Low risk | None lost to follow‐up One failed block; data included |
Selective reporting (reporting bias) | Low risk | All measurements mentioned in methods section given in results section |
Other bias | Low risk | Groups well balanced |