Cochrane · systematic review · CD001159
Peripheral nerve blocks for hip fractures in adults
Guay, J, Kopp, S · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 3 · 42.9%High 2 · 28.6%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyPeripheral nerve blocks for hip fracture
Population: patients with hip fracture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain on movement at 30 minutes after block placement | no estimate extracted | 11 studies · 503 participants | High |
Acute confusional state | RR 0.67 [0.5, 0.9] | 13 studies · 1072 participants | High |
Myocardial infarction | no estimate extracted | 1 study · 31 participants | Low Downgraded: risk of bias, imprecision, publication bias |
Chest infections | RR 0.41 [0.19, 0.89] | 3 studies · 131 participants | Moderate Downgraded: risk of bias, imprecision, publication bias |
Death | RR 0.87 [0.47, 1.6] | 11 studies · 617 participants | Low Downgraded: risk of bias, imprecision, publication bias |
Time to first mobilization | no estimate extracted | 3 studies · 208 participants | Moderate Downgraded: risk of bias, imprecision, publication bias |
Cost of analgesic regimens for single‐injection blocks | no estimate extracted | 1 study · 75 participants | Moderate Downgraded: risk of bias, imprecision, publication bias |
Peripheral nerve blocks for hip fracture
Population: patients with hip fracture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain on movement at 30 minutes after block placement | no estimate extracted | 8 studies · 373 participants | High |
Acute confusional state | RR 0.69 [0.38, 1.27] | 7 studies · 676 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Myocardial ischaemia | RR 0.2 [0.03, 1.42] | 1 study · 20 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |
Pneumonia | RR 0.41 [0.19, 0.89] | 3 studies · 131 participants | Moderate Downgraded: imprecision, inconsistency, indirectness, publication bias |
Death | RR 0.72 [0.34, 1.52] | 7 studies · 316 participants | Low Downgraded: risk of bias, inconsistency, indirectness, publication bias |
Time to first mobilisation | no estimate extracted | 2 studies · 155 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Cost of analgesic regimens for single shot blocks | no estimate extracted | 1 study · 75 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |