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February 1, 1989Anaesthesia

Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures

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Key result

Regional anaesthesia did not significantly influence 30-day mortality compared to general anaesthesia in patients over 90 undergoing hip arthroplasty (5.3% vs 6.8%) or prostate resection (3.2% vs 0%).

Why the study?

Does regional anaesthesia improve peri-operative morbidity, mortality, or long-term survival compared to general anaesthesia in patients over 90 years of age undergoing hip arthroplasty or transurethral prostate resection?

Population

185 patients over 90 years of age who underwent either total hip arthroplasty or transurethral prostate…

Comparison

Regional anaesthesia vs General anaesthesia

Design

Cohort

Follow-up

30 days and long-term

Authors

MHMichael P. HoskingBrooke Army Medical CenterCLCREIG M. LOBDELLMWM. A. WarnerUniversity of Toledo Medical Center

Discussion

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Implication

Should not yet guide anaesthetic choice in nonagenarians; leaves open effects on morbidity and long-term survival.

Study Design

Type

Cohort (n=185)

Structured PICO

Does regional anaesthesia improve peri-operative morbidity, mortality, or long-term survival compared to general anaesthesia in patients over 90 years of age undergoing hip arthroplasty or transurethral prostate resection?

P
Population
185 patients over 90 years of age who underwent total hip arthroplasty or transurethral prostate resection between 1975 and 1985.
E
Exposure
Regional anaesthesia
C
Comparator
General anaesthesia
O
Outcome
Peri-operative morbidity and mortality (including in-hospital and 30-day mortality) and long-term survivalhard clinical

Main Result

Absolute Event Rate: 5.3% vs 6.8%

In patients over 90 years of age undergoing hip arthroplasty or transurethral prostate resection, the choice between regional and general anaesthesia does not significantly impact short-term mortality or long-term survival.

Cite This Study

Hosking et al. (1989) conducted a cohort in Total hip arthroplasty or transurethral prostate resection (n=185). Regional anaesthesia vs. General anaesthesia was evaluated on 30-day mortality (hip arthroplasty). Regional anaesthesia did not significantly influence 30-day mortality compared to general anaesthesia in patients over 90 undergoing hip arthroplasty (5.3% vs 6.8%) or prostate resection (3.2% vs 0%).

synapsesocial.com/papers/6a6b36be01245da06ecb6a55https://doi.org/10.1111/j.1365-2044.1989.tb11166.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epidural Versus General Anaesthesia for Total Hip Arthroplasty in Elderly Patients1980 · 229 citations
  2. 2Anaesthetic techniques for surgical correction of fractured neck of femur1978 · 106 citations
  3. 3Survival of Female Geriatric Patients after Hip Fracture Surgery. A Comparison of 5 Anesthetic Methods1982 · 51 citations
  4. 4COMPARISON OF THE EFFECTS OF SPINAL ANAESTHESIA AND GENERAL ANAESTHESIA ON POSTOPERATIVE OXYGENATION AND PERIOPERATIVE MORTALITY1980 · 100 citations
  5. 5Effect of Spinal Anesthesia on Adrenergic Tone and the Neuroendocrine Responses to Surgical Stress in Humans1981 · 140 citations