Rebound Pain Impact After Hip Surgery With Nerve BlockNCT07295184
Effect of Rebound Pain on Postoperative Intensive Care Delirium in Patients Undergoing Hip Surgery With Peripheral Nerve Block
An observational study of Rebound Pain Impact After Hip Surgery With Nerve Block, run by Konya City Hospital at 1 site in Turkey (Türkiye).
Trial summary
Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Rebound Pain Impact After Hip Surgery With Nerve Block
- What is being tested?
- Peripheral nerve block applied and Only multimodal analgesia applied
- Type of treatment
- Pill or oral medicine, Injection or infusion
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 12 May 2026to 29 Sep 2026
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: We conducted a pilot study on 20 patients using the 'goodness-of-fit tests: contingency tables' test with G Power software. In our study, the incidence of rebound pain was 40%, and postoperative delirium developed in 50% of patients with rebound pain, compared to 8.3% in patients without rebound pain. Based on these data, an effect size of 0.356 was found, and an analysis was conducted using α=0.05, 90% power. The sample size was calculated as 83 patients. Considering the dropout rate, a total of 90 patients (36 patients with rebound pain and 54 patients without rebound pain) were calculated to be included in the study.
Who may be able to join
- Patients aged 18-80
- ASA I-III risk groups
- Undergoing elective hip surgery
Who cannot join
- Preoperative history of delirium, dementia, or major neurological disease
- Present cognitive impairment or severe hearing or visual impairment that could affect pain assessment
- Development of mechanical ventilation requirement in the intensive care unit; Need for bilateral hip surgery
- Failure to provide meaningful analgesia after block application due to surgical pain outside the scope of the block
- Patient's inability to complete the pain diary during postoperative follow-up;
- Urgent hip surgery
- Voluntary failure to give consent or request to withdraw from the study.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Rebound Pain on Postoperative Intensive Care Delirium in Patients Undergoing Hip Surgery With Peripheral Nerve Block: A Prospective Observational Study
Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.
The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.
Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.
Read the detailed description
Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.
The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.
Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.
In recent years, the Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block have gained attention as regional anesthesia techniques that provide effective analgesia by targeting the nerve branches innervating the anterior capsule of the hip joint.
- Being tested
- Peripheral nerve block applied, Only multimodal analgesia applied
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Peripheral nerve block appliedOther
Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block applied
Only multimodal analgesia appliedOther
Postoperative analgesia (paracetamol 1000 mg intravenously every 8 hours and celecoxib 200 mg orally every 12 hours)
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of delirium
The incidence of delirium will be evaluated in the first 72 hours postoperatively in the intensive care unit.
Measured: 72 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2025
- Study start12 May 2026
- Primary completion29 Sep 2026
- Study completion29 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rebound Pain Impact After Hip Surgery With Nerve BlockStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Konya City Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, HASAN ŞENAY, Konya City Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07295184
- Sponsor's protocol ID
- Rebound pain
- Status last verified
- Sep 2026
- First submitted
- 8 Dec 2025
- Last updated
- 30 Sep 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No