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Abou-Setta AM, Beaupre LA, Jones CA, et al. Pain Management Interventions for Hip Fracture [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 May. (Comparative Effectiveness Reviews, No. 30.)
Table 19Evidence addressing key questions: Traction
| Key Question | Outcome | Evidence avaiability | Summary of Evidence |
|---|---|---|---|
| KQ 1 | Acute pain* | Yes | 9 trials reported no statistically significant difference between skin, skeletal, and no traction. The strength of the evidence was rated as low. 1 trial reported no statistically significant difference between skin and skeletal traction. The strength of the evidence was rated as insufficient. |
| Chronic pain* | No | ||
| KQ2 | Mortality (30-day* and up to 1-year postfracture) | Yes | 1 trial reported no statistically significant difference between skin, skeletal, and no traction. The strength of the evidence was rated as insufficient. |
| Functional status | No | ||
| Pain medication use; change in type and quantity | Yes | 2 trials reported no statistically significant difference between skin traction and no traction. | |
| Mental status* (e.g., delirium, confusion) | No | ||
| Healtd-related quality of life | No | ||
| Quality of sleep in tde hospital | No | ||
| Ability to participate in rehabilitation | No | ||
| Return to prefracture living arrangements | No | ||
| Healtd services utilization | Yes | 2 trials reported no statistically significant difference between skin traction and no traction. | |
| KQ3 | Frequency of adverse effects (e.g. stroke*, myocardial infarction*, renal failure*) | Yes | 7 trials and 1 cohort study demonstrated no statistically significant difference in any adverse event, peroneal palsy, damage to surrounding structures, difficult reduction, pressure sores, direct skin damage, deep venous thrombosis, or failure to heal. |
| KQ4 | Effectiveness and safety in differing subpopulations | No |
KQ = key question
- *
= body of evidence rated using the AHRQ GRADE approach (Grading of Recommendation Assessment, Development and Evaluation)
- Table 19, Evidence addressing key questions: Traction - Pain Management Interven...Table 19, Evidence addressing key questions: Traction - Pain Management Interventions for Hip Fracture
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