Key result
General anesthesia was associated with higher odds of in-hospital death compared to neuraxial anesthesia in geriatric patients undergoing hip surgery (2.62% vs 2.13%; OR 1.24; 95% CI 1.15-1.35; P<0.001).
Why the study?
Does neuraxial anesthetic reduce adverse in-hospital postoperative outcomes compared to general anesthetic in geriatric patients undergoing hip surgery?
Population
182,307 geriatric patients undergoing hip surgery from Taiwan's 1997-2011 in-patient claims database
Comparison
Neuraxial anesthetic (NA) vs General anesthetic (GA)
Design
Cohort
Follow-up
in-hospital
Authors
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In geriatric patients undergoing hip surgery, neuraxial anesthesia is associated with lower rates of in-hospital mortality, stroke, and respiratory failure compared to general anesthesia.
Cohort (n=104,088)
Yes
Does neuraxial anesthetic reduce adverse in-hospital postoperative outcomes compared to general anesthetic in geriatric patients undergoing hip surgery?
Odds Ratio: 1.24 (95% CI 1.15–1.35)
Absolute Event Rate: 2.62% vs 2.13%
p-value: p=< 0.001
In geriatric patients undergoing hip surgery, neuraxial anesthesia is associated with lower rates of in-hospital mortality, stroke, and respiratory failure compared to general anesthesia.
Chu et al. (2015) conducted a cohort in Hip surgery in geriatric patients (n=104,088). General anesthetic vs. Neuraxial anesthetic was evaluated on Death (OR 1.24, 95% CI 1.15 to 1.35, p=< 0.001). General anesthesia was associated with higher odds of in-hospital death compared to neuraxial anesthesia in geriatric patients undergoing hip surgery (2.62% vs 2.13%; OR 1.24; 95% CI 1.15-1.35; P<0.001).
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