The association between peripheral nerve blocks and postoperative delirium in adults undergoing hip fracture surgery: a systematic review and meta-analysis
Bethany Davey, Abdul-Hadi Kafagi, Abdullah Bin Sahl, Anand Pillai · 2025
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Description
Bethany Davey and colleagues pool trials on whether numbing a nerve can spare hip fracture patients the confusion of delirium, in this review from twenty twenty-five. Postoperative delirium is common and harmful after hip surgery. Peripheral nerve blocks ease pain without heavy sedation, which might protect the brain.
Twelve randomized trials, eleven hundred fifty-seven patients in all, compared blocks against none in patients without prior cognitive problems. Delirium struck about a third less often with a block, a pooled risk ratio of zero point six eight. The authors are careful: block techniques varied, trial designs differed, and the patients most at risk, those already impaired, were excluded by design. They call for standardized trials stratified by risk. Still, in a frail population where every avoided delirium counts, the signal favors the block.
Catalog record
| CREATOR | Bethany Davey, Abdul-Hadi Kafagi, Abdullah Bin Sahl, Anand Pillai |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 34 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |