A Randomized Controlled Trial of Regional versus General Anesthesia for Promoting Independence after Hip Fracture (REGAIN Trial)

  • sponsor
    Patient Centered Outcomes Research Institute/Johns Hopkins University
Updated on 23 November 2020


A Randomized Controlled Trial of Regional versus General Anesthesia for Promoting Independence after Hip Fracture (REGAIN Trial)


This study is being done because it is not known whether these two types of anesthesia lead to the same outcome or if one type of anesthesia is better for people who are undergoing surgery to treat hip fractures. We will specifically explore how well you are walking after your surgery, your overall health and quality of life, how well you tolerated anesthesia, and healthcare utilization for the two types of anesthesia.

There are two forms of standard of care anesthesia that are used for people having hip surgery:

  1. Regional anesthesia - regional block involves injection of medication into the spine to temporarily numb the hip area. As part of regional anesthesia, you usually also receive intravenous medications to relax you. Occasionally, regional anesthesia does not provide sufficient pain relief. In these situations, you may receive general anesthesia or intravenous pain-relieving drugs to supplement regional anesthesia.
  2. General anesthesia makes you unconscious and insensitive to pain through the use of medications which you may breathe or have injected. A breathing tube is usually placed into your windpipe once you are unconscious and later removed before you are fully awake.

Each of these anesthesia regimens is routinely used at our hospital for hip fracture surgery.

Condition Anesthesia, Orthopedic Surgery
Clinical Study IdentifierTX146420
SponsorPatient Centered Outcomes Research Institute/Johns Hopkins University
Last Modified on23 November 2020


Yes No Not Sure

Inclusion Criteria

You must be diagnosed with a hip fracture that requires surgery
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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