Why the study?
Does regional anaesthesia reduce mortality and complications compared to general anaesthesia in adults undergoing hip fracture surgery?
Population
3,231 adults undergoing hip (proximal femoral) fracture repair surgery across 31 randomized trials
Comparison
Regional anaesthesia (neuraxial block) vs General anaesthesia
Design
Meta-analysis
Follow-up
1 month (for mortality)
Authors
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No mortality benefit favors neuraxial over general anaesthesia in hip fracture surgery; confirms equipoise but very low-quality evidence leaves practice implications open.
Does regional anaesthesia reduce mortality and complications compared to general anaesthesia in adults undergoing hip fracture surgery?
Regional anaesthesia does not appear to significantly reduce mortality or major complications compared to general anaesthesia for hip fracture surgery, though evidence quality is very low.
Guay et al. (2016) studied this question.
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