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Background and Aims Hip fractures in the elderly population necessitate effective pain management strategies to improve outcomes. Peripheral nerve blocks are recommended for their potential benefits in pain control and recovery. However, their utilization remains variable. This study aims to evaluate the incidence and determinants of peripheral nerve block use in elderly hip fracture patients, with a focus on timing and patient outcomes.

Methods A retrospective analysis of patient charts from University Hospital and Victoria Hospital in London, Ontario, Canada, was conducted. The study included patients aged 65 years and older diagnosed who underwent emergency hip surgery between January 1, 2018, and February 29, 2024. Data on nerve block utilization, patient demographics, cognitive impairment, length of stay, and timing of block administration were collected. Statistical analysis, including chi-square tests, logistic regression, and propensity score matching, was performed to examine the factors influencing nerve block utilization.

Results Preliminary findings suggest suboptimal utilization of peripheral nerve blocks in hip fracture surgery patients, with fewer blocks administered during off-hours and weekends compared to standard weekday work hours. Despite an annual increase in block utilization, patients during off-hours were less likely to receive blocks, indicating variation in care.

Conclusions This study highlights the need for optimizing the utilization of peripheral nerve blocks in elderly patients undergoing hip fracture surgery. Understanding factors influencing block administration, such as timing, patient characteristics, and cognitive impairment, is crucial for enhancing pain management practices and improving outcomes in this vulnerable population.