Palliatieve pijnbehandeling bij proximale femurfractuur

Miriam W.A. van der Velden; Miriam C. Faes; P. J.F. de Loos; Niels C.A.S. Berende; Marieke H.J. van den Beuken-van Everdingen; Arnela Suman

Palliatieve pijnbehandeling bij proximale femurfractuur

Translated title of the contribution: Palliative treatment of proximal femur fracture: results of intrathecal phenol (SPING block) in frail older patients

Miriam W.A. van der Velden, Miriam C. Faes, P. J.F. de Loos, Niels C.A.S. Berende, Marieke H.J. van den Beuken-van Everdingen, Arnela Suman

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

This case series describes the clinical outcomes of intrathecal phenol (SPING block) as palliative, non-operative treatment of proximal femur fracture (PFF) in frail older patients with comorbidities and pre-morbid limited mobility. The goal of treatment is to provide adequate pain relief. Ten patients (mean age 89.9, SD 6.4 years) were treated with SPING block. Mean pain score (using NRS) decreased from 5.7 at admission to 1.0 within 4-8 hours after treatment, and 0.5 at discharge; without additional analgesics and irrespective of the type of fracture. Mean hospital stay was 1.9 (SD 0.9) days. Only 2 patients experienced side effects after treatment, i.e. temporary hypotensia and fever. Based on this case series, SPING block could be a promising palliative pain treatment in frail older patients with PFF. Further research is necessary to determine the effects of this treatment on quality of life and cost-effectiveness in this increasing group of patients.

Translated title of the contribution	Palliative treatment of proximal femur fracture: results of intrathecal phenol (SPING block) in frail older patients
Original language	Dutch
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	168
Publication status	Published - 2 Jan 2024

Keywords

Humans
Aged
Aged, 80 and over
Phenol/therapeutic use
Palliative Care
Proximal Femoral Fractures
Frail Elderly
Quality of Life
Phenols
Pain/drug therapy etiology

Cite this

@article{cfb97385f5c146a5b5c3e1d2897cafe4,

title = "Palliatieve pijnbehandeling bij proximale femurfractuur",

abstract = "This case series describes the clinical outcomes of intrathecal phenol (SPING block) as palliative, non-operative treatment of proximal femur fracture (PFF) in frail older patients with comorbidities and pre-morbid limited mobility. The goal of treatment is to provide adequate pain relief. Ten patients (mean age 89.9, SD 6.4 years) were treated with SPING block. Mean pain score (using NRS) decreased from 5.7 at admission to 1.0 within 4-8 hours after treatment, and 0.5 at discharge; without additional analgesics and irrespective of the type of fracture. Mean hospital stay was 1.9 (SD 0.9) days. Only 2 patients experienced side effects after treatment, i.e. temporary hypotensia and fever. Based on this case series, SPING block could be a promising palliative pain treatment in frail older patients with PFF. Further research is necessary to determine the effects of this treatment on quality of life and cost-effectiveness in this increasing group of patients.",

keywords = "Humans, Aged, Aged, 80 and over, Phenol/therapeutic use, Palliative Care, Proximal Femoral Fractures, Frail Elderly, Quality of Life, Phenols, Pain/drug therapy etiology",

author = "{van der Velden}, {Miriam W.A.} and Faes, {Miriam C.} and {de Loos}, {P. J.F.} and Berende, {Niels C.A.S.} and {van den Beuken-van Everdingen}, {Marieke H.J.} and Arnela Suman",

year = "2024",

month = jan,

day = "2",

language = "Dutch",

volume = "168",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Bohn Stafleu van Loghum",

}

TY - JOUR

T1 - Palliatieve pijnbehandeling bij proximale femurfractuur

AU - van der Velden, Miriam W.A.

AU - Faes, Miriam C.

AU - de Loos, P. J.F.

AU - Berende, Niels C.A.S.

AU - van den Beuken-van Everdingen, Marieke H.J.

AU - Suman, Arnela

PY - 2024/1/2

Y1 - 2024/1/2

N2 - This case series describes the clinical outcomes of intrathecal phenol (SPING block) as palliative, non-operative treatment of proximal femur fracture (PFF) in frail older patients with comorbidities and pre-morbid limited mobility. The goal of treatment is to provide adequate pain relief. Ten patients (mean age 89.9, SD 6.4 years) were treated with SPING block. Mean pain score (using NRS) decreased from 5.7 at admission to 1.0 within 4-8 hours after treatment, and 0.5 at discharge; without additional analgesics and irrespective of the type of fracture. Mean hospital stay was 1.9 (SD 0.9) days. Only 2 patients experienced side effects after treatment, i.e. temporary hypotensia and fever. Based on this case series, SPING block could be a promising palliative pain treatment in frail older patients with PFF. Further research is necessary to determine the effects of this treatment on quality of life and cost-effectiveness in this increasing group of patients.

AB - This case series describes the clinical outcomes of intrathecal phenol (SPING block) as palliative, non-operative treatment of proximal femur fracture (PFF) in frail older patients with comorbidities and pre-morbid limited mobility. The goal of treatment is to provide adequate pain relief. Ten patients (mean age 89.9, SD 6.4 years) were treated with SPING block. Mean pain score (using NRS) decreased from 5.7 at admission to 1.0 within 4-8 hours after treatment, and 0.5 at discharge; without additional analgesics and irrespective of the type of fracture. Mean hospital stay was 1.9 (SD 0.9) days. Only 2 patients experienced side effects after treatment, i.e. temporary hypotensia and fever. Based on this case series, SPING block could be a promising palliative pain treatment in frail older patients with PFF. Further research is necessary to determine the effects of this treatment on quality of life and cost-effectiveness in this increasing group of patients.

KW - Humans

KW - Aged

KW - Aged, 80 and over

KW - Phenol/therapeutic use

KW - Palliative Care

KW - Proximal Femoral Fractures

KW - Frail Elderly

KW - Quality of Life

KW - Phenols

KW - Pain/drug therapy etiology

M3 - Article

SN - 0028-2162

VL - 168

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

ER -