Effectiveness of multimodal analgesia on surgically treated geriatric hip fracture patients: a propensity score matching analysis
Authors' conclusion
Our findings showed that implementing a multimodal analgesia protocol for hip fracture surgery was associated with lower postoperative pain and reduced opioid consumption
Study context
- Population
- Patients undergoing surgery for hip fracture (femoral neck, intertrochanteric, subtrochanteric), single institution, 2008–2023matched cohort
- Participants
- 280 vs 280
- Exposure
- Standardised multimodal analgesia protocol vs no multimodal analgesia
- Multimodal analgesian = 280
- Controln = 280reference
- Outcome
- Pain scores (VAS at 6, 12, 24 and 48 h postoperatively) and oral opioid use
- Follow-up
- Within 48 hours postoperatively
Methodological detailspropensity-score matched 1:1, single-centre, historical control, 2019–2021 excluded as transition period
- Propensity-score matched 1:1
- Single-centre
- Historical control
- 2019–2021 excluded as transition period
Main finding
As reported in the abstract
- Multimodal analgesia
- VAS pain score at 6 h 1.9 vs 2.9; P < 0.001
- Multimodal analgesia
- VAS pain score at 24 h 2.0 vs 2.4; P = 0.001
- Multimodal analgesia
- VAS pain score at 48 h 1.7 vs 2.2; P < 0.001
- Multimodal analgesia
- 48-h opioid usage 5.5 vs 13.3 mg; P = 0.014
Observational data: associations, not effects.
Original publication
Effectiveness of multimodal analgesia on surgically treated geriatric hip fracture patients: a propensity score matching analysis. Reg Anesth Pain Med. Published 17 August 2025. doi:10.
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