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The efficacy of continuous-flow cryo and cyclic compression therapy after hip fracture surgery on postoperative pain: design of a prospective, open-label, parallel, multicenter, randomized controlled…

Overview of attention for article published in BMC Musculoskeletal Disorders, April 2016
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Title
The efficacy of continuous-flow cryo and cyclic compression therapy after hip fracture surgery on postoperative pain: design of a prospective, open-label, parallel, multicenter, randomized controlled, clinical trial
Published in
BMC Musculoskeletal Disorders, April 2016
DOI 10.1186/s12891-016-1000-4
Pubmed ID
Authors

Nick C. Leegwater, Peter A. Nolte, Niels de Korte, Martin J. Heetveld, Kees J. Kalisvaart, Casper P. Schönhuth, Bas Pijnenburg, Bart J. Burger, Kees-Jan Ponsen, Frank W. Bloemers, Andrea B. Maier, Barend J. van Royen

Abstract

The number of hip fractures and resulting post-surgical outcome are a major public health concern and the incidence is expected to increase significantly. The acute recovery phase after hip fracture surgery in elder patients is often complicated by severe pain, high morphine consumption, perioperative blood loss with subsequent transfusion and delirium. Postoperative continuous-flow cryocompression therapy is suggested to minimize these complications and to attenuate the inflammatory reaction that the traumatic fracture and subsequent surgical trauma encompass. Based on a pilot study in patients undergoing total hip arthroplasty for osteoarthritis, it is anticipated that patients treated with continuous-flow cryocompression therapy will have less pain, less morphine consumption and lower decrease of postoperative hemoglobin levels. These factors are associated with a shorter hospital stay and better long-term (functional) outcome. One hundred and sixty patients with an intra or extracapsular hip fracture scheduled for internal fixation (intramedullary hip nail, dynamic hip screw or cannulated screws) or prosthesis surgery (total hip or hemiarthroplasty) will be included in this prospective, open-label, parallel, multicenter, randomized controlled, clinical superiority trial. Patients will be allocated to two treatment arms: group 'A' will be treated with continuous-flow cryocompression therapy and compared to group 'B' that will receive standard care. Routine use of drains and/or compressive bandages is allowed in both groups. The primary objective of this study is to compare acute pain the first 72 h postoperative, measured with numeric rating scale for pain. Secondary objectives are: (non-) morphine analgesic use; adjusted postoperative hemoglobin level; transfusion incidence; incidence, duration and severity of delirium and use of psychotropic medication; length of stay; location and duration of rehabilitation; functional outcome; short-term patient-reported health outcome; general and cryotherapy related complications and feasibility. This is the first randomized controlled trial that will assess the analgesic efficiacy of continuous-flow cryocompression therapy in the acute recovery phase after hip fracture surgery. www.trialregister.nl , NTR4152 (23(rd) of August 2013).

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 164 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Andorra 1 <1%
United Kingdom 1 <1%
Japan 1 <1%
Unknown 161 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 14%
Student > Bachelor 17 10%
Student > Doctoral Student 14 9%
Researcher 12 7%
Student > Ph. D. Student 11 7%
Other 35 21%
Unknown 52 32%
Readers by discipline Count As %
Medicine and Dentistry 57 35%
Nursing and Health Professions 22 13%
Psychology 12 7%
Pharmacology, Toxicology and Pharmaceutical Science 4 2%
Engineering 3 2%
Other 9 5%
Unknown 57 35%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 April 2016.
All research outputs
#6,542,028
of 8,607,055 outputs
Outputs from BMC Musculoskeletal Disorders
#1,705
of 2,143 outputs
Outputs of similar age
#196,550
of 279,192 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#58
of 88 outputs
Altmetric has tracked 8,607,055 research outputs across all sources so far. This one is in the 13th percentile – i.e., 13% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,143 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.0. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,192 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 88 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.