Key result
General anaesthesia was associated with similar 30-day mortality compared to spinal anaesthesia in patients undergoing hip fracture surgery (7.0% vs 7.5%, p=0.053).
Why the study?
Does general anaesthesia reduce mortality compared to spinal anaesthesia in patients undergoing hip fracture surgery?
Observational (n=65,535)
Yes
Does general anaesthesia reduce mortality compared to spinal anaesthesia in patients undergoing hip fracture surgery?
Absolute Event Rate: 7% vs 7.5%
p-value: p=0.053
In a large national cohort of patients undergoing hip fracture surgery, there was no significant difference in short-term mortality between those receiving general versus spinal anaesthesia.
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Does not support changing anaesthetic practice; leaves open need for randomized trials to confirm mortality equivalence.
White et al. (2014) conducted an observational in Hip fracture (n=65,535). General anaesthesia vs. Spinal anaesthesia was evaluated on 30-day mortality (p=0.053). General anaesthesia was associated with similar 30-day mortality compared to spinal anaesthesia in patients undergoing hip fracture surgery (7.0% vs 7.5%, p=0.053).
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