Frequency of Fascia Iliaca Block Administration in Elderly Patients with Hip Fractures: A Retrospective Chart Review

Objective Hip fractures in older adults are increasing, and effective perioperative pain control is crucial to improving outcomes. Despite the benefits of fascia iliaca block (FIB) in reducing pain, opioid use, and postoperative delirium, its use at our institution is inconsistent. This study assessed the frequency of FIB administration upon admission for elderly hip fracture patients. Methods This IRB #29515-approved retrospective chart review included 248 patients meeting predetermined criteria. Data were collected, including demographics, comorbidities, FIB administration (timing, personnel, medication), and preoperative or postoperative delirium. Results Of the 248 patients, 32% (n=79) received a FIB, while 68% (n=169) did not. Of those receiving FIBs, 95% (n=75) were performed in the emergency department (ED) and 5.1% (n=4) by anesthesia. Only 32% of patients received FIBs, predominantly in the ED, indicating underutilization. Conclusion Most elderly hip fracture patients do not receive a FIB before surgery at our institution. It highlights the need for quality improvement initiatives to optimize FIB use and improve outcomes.