Key result
Regional anesthesia was not associated with lower 30-day mortality compared with general anesthesia in patients undergoing hip fracture surgery (risk difference -1.1%; 95% CI -2.8 to 0.5; P=0.20).
Why the study?
Does regional anesthesia reduce 30-day mortality and hospital length of stay compared to general anesthesia in patients 50 years or older undergoing hip fracture surgery?
Cohort (n=56,729)
Yes
Does regional anesthesia reduce 30-day mortality and hospital length of stay compared to general anesthesia in patients 50 years or older undergoing hip fracture surgery?
Absolute Risk Reduction: -1.1 (95% CI -2.8–0.5)
Absolute Event Rate: 5.4% vs 5.8%
Absolute Risk Reduction: -1.1%
p-value: p=.20
Among adults undergoing hip fracture surgery, regional anesthesia was not associated with lower 30-day mortality compared to general anesthesia, though it was associated with a modestly shorter length of stay.
No takes yet. Share an insight, caveat, or question.
Does not support preferring regional anesthesia to lower mortality; leaves open modest length-of-stay benefit pending randomized trials.
Neuman et al. (2014) conducted a cohort in hip fracture (n=56,729). Regional anesthesia vs. General anesthesia was evaluated on 30-day mortality (risk difference -1.1%, 95% CI -2.8 to 0.5, p=.20). Regional anesthesia was not associated with lower 30-day mortality compared with general anesthesia in patients undergoing hip fracture surgery (risk difference -1.1%; 95% CI -2.8 to 0.5; P=0.20).
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