{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:23:41Z","timestamp":1745468621185,"version":"3.40.4"},"reference-count":36,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerontology"],"published-print":{"date-parts":[[2024]]},"abstract":"<b><i>Introduction:<\/i><\/b> The purpose of this study was to evaluate peripheral nerve block (PNB) effectiveness in postoperative pain management and surgical outcomes for displaced femoral-neck fracture in geriatric patients (&gt;70 years) who underwent bipolar hemiarthroplasty (BHA). <b><i>Methods:<\/i><\/b> From January 2017 to December 2021, 231 geriatric patients with displaced femoral-neck fracture who consecutively underwent BHA were retrospectively reviewed. Patients were divided into two groups: the patient-controlled analgesia (PCA) group (<i>n<\/i> = 132) who received only intravenous (IV) PCA for postoperative pain management, and all others who received PNB with IV PCA (PNB+PCA) such as femoral nerve block or fascia iliaca compartment block after surgery (<i>n<\/i> = 99). Primary outcomes were postoperative visual analog scale (VAS) at rest and during activity at 6, 24, and 48 h postoperatively. Secondary outcomes were postoperative complications, changes in hemoglobin, length of hospital stay, and total morphine usage after surgery. <b><i>Results:<\/i><\/b> Postoperative resting VAS at 6 h and 48 h was significantly lower in the PNB+PCA group compared with the PCA group (<i>p<\/i> = 0.075, <i>p<\/i> = 0.0318, respectively). However, there was no significant difference in either resting VAS at 24 h or active VAS. Complications of pneumonia and delirium until 1 month postoperative were significantly lower in the PNB + PCA group than the PCA group (<i>p<\/i> = 0.0022, <i>p<\/i> = 0.0055, respectively). <b><i>Conclusion:<\/i><\/b> PNB with IV PCA seems to have a beneficial effect on geriatric femoral-neck patients who underwent BHA with postoperative analgesia for reducing postoperative resting pain and complications, especially pneumonia and delirium. <\/jats:p>","DOI":"10.1159\/000538614","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T21:00:31Z","timestamp":1712264431000},"page":"603-610","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Pain Management from Peripheral Nerve Block for Geriatric Patients following Bipolar Hemiarthroplasty for Displaced Femoral-Neck Fracture"],"prefix":"10.1159","volume":"70","author":[{"given":"Tae Sung","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyuck Min","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Young","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Cheol","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Seon","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwan Kyu","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000315490"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.04.015"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-200019060-00008"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.333.7557.27"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000814"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.5152\/balkanmedj.2013.8571"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.5704\/MOJ.1307.007"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-021-00714-x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870070-00007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2015.56.1.139"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01708"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/78.5.606"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000847"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.5371\/hp.2020.32.3.142"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2020-102315"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-022-01720-7"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000119"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12030408"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1002\/pds.3945"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/58.1.m76"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00458-X"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-2108-3"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2012.02667.x"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjpain.2017.05.002"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.3113\/jsoa.2019.0058"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.01.017"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000024596"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199109000-00039"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13559"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1159\/000230587"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1177\/2151458516641162"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2021.36.e238"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2022-103566"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199809000-00019"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000543"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000192355.71966.8e"}],"container-title":["Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/ger\/article-pdf\/70\/6\/603\/4241553\/000538614.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/ger\/article-pdf\/70\/6\/603\/4241553\/000538614.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:14:25Z","timestamp":1745421265000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000538614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":36,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,13]]},"published-print":{"date-parts":[[2024,6,19]]}},"URL":"https:\/\/doi.org\/10.1159\/000538614","archive":["Portico"],"relation":{},"ISSN":["0304-324X","1423-0003"],"issn-type":[{"type":"print","value":"0304-324X"},{"type":"electronic","value":"1423-0003"}],"subject":[],"published":{"date-parts":[[2024]]}}}