Key result
PENG block linked to ~17% lower early pain scores vs fascia iliaca block in hip fracture.
Why the study?
The effect of pericapsular nerve group (PENG) block in early analgesia for elderly patients with hip fracture was investigated.
Does pericapsular nerve group (PENG) block improve early analgesia in elderly patients with hip fracture?
Does pericapsular nerve group (PENG) block improve early analgesia in elderly patients with hip fracture?
Absolute Event Rate: 4.13% vs 5%
p-value: p=0.016
PENG block provides effective early analgesia, improves pre-operative sleep quality, and reduces cognitive dysfunction incidence in elderly patients with hip fractures.
May support PENG for early hip fracture analgesia in elderly; hypothesis-generating, requiring RCTs before practice change.
Objective: The objective of the study is to investigate the effect of pericapsular nerve group (PENG) block in early analgesia in elderly patients with hip fracture.Methods: A total of 44 elderly patients with hip fracture admitted to our hospital from August 2021 to December 2022 were selected and divided into 2 groups according to different analgesia programs.Results: At T 1 ~T4 , the resting and active visual analog scale (VAS) scores in group P were lower than group F (p < 0.05).The resting and active VAS scores at T 5 in both groups were no visible differences (p > 0.05).After 30 min of block, systolic blood pressure, diastolic blood pressure, and heart rate were decreased in both groups (p < 0.05), but no obvious difference was found in the two groups (p > 0.05).Before surgery, Pittsburgh Sleep Quality Index (PSQI) and mini-mental state scale (MMSE) scores in both groups were reduced, and PSQI score in group P was lower than that in group F and MMSE score was higher than group F (p < 0.05).Conclusions: PENG technology is safe and effective in the early analgesia of elderly hip fractures.It can effectively block physiological stress response caused by acute trauma, improve pre-operative sleep quality, and reduce the incidence of cognitive dysfunction.
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Zheng et al. (2024) studied Hip fracture (n=44). Pericapsular nerve group (PENG) block vs. Fascia iliaca compartment block (FICB) was evaluated on Resting visual analog scale (VAS) score at 5 minutes (T1) after block (p=0.016). Pericapsular nerve group (PENG) block significantly reduced resting and active pain scores from 5 to 30 minutes post-block compared to fascia iliaca compartment block in elderly patients with hip fracture.
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