Key result
Spinal anesthesia was not a risk factor for postoperative complications compared to general anesthesia in older patients undergoing hip surgery.
Why the study?
Spinal anesthesia is considered superior to general anesthesia for postoperative recovery in older patients, but evidence remains lacking.
Does spinal anesthesia reduce postoperative complications during hospitalization in patients ≥ 65-years-old undergoing hip surgery compared to general anesthesia?
Cohort
Yes
Does spinal anesthesia reduce postoperative complications during hospitalization in patients ≥ 65-years-old undergoing hip surgery compared to general anesthesia?
In elderly patients undergoing hip surgery, the choice between spinal and general anesthesia does not significantly impact the risk of postoperative complications during hospitalization.
Should not yet change anesthesia selection in elderly hip surgery; leaves open clinical relevance of biomarker differences.
BACKGROUND: Spinal anesthesia is superior to general anesthesia for postoperative recovery in older patients (≥ 65 age). However, evidence for this is lacking. AIM: To evaluate the effect of anesthesia on postoperative complications in older patients undergoing hip surgery. METHODS: This is a retrospective, propensity score-matched, cohort study. Patients ≥ 65-years-old who underwent hip surgery at the Traditional Chinese Medicine of Guangdong Provincial Hospital in China from October 2016 to June 2020 were included. The operative methods were femoral fracture's internal fixation and hip replacement. The orthopedic doctors in different hospitals of our group have varied requirements for patients' out-of-bed time after surgery. Therefore, spinal anesthesia or general anesthesia was selected according to the requirements of the orthopedic doctors. The primary outcome of this study was complications during the hospitalization of the postoperative patient. The length of hospital stay, postoperative blood transfusion, routine blood analysis, renal function, coagulation function, and inflammatory correlations were secondary outcomes. Propensity score matching (PSM) was performed utilizing logistic regression. RESULTS: = 0.002) in the spinal anesthesia group were significantly higher than those in the general anesthesia group. CONCLUSION: Anesthesia technology is not a risk factor for postoperative complications of hip surgery. The levels of D-Dimer and hsCRP were higher in the spinal anesthesia group.
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Guo et al. (2022) conducted a cohort in Hip surgery. Spinal anesthesia vs. General anesthesia was evaluated on Complications during the hospitalization of the postoperative patient. Spinal anesthesia was not a risk factor for postoperative complications compared to general anesthesia in older patients undergoing hip surgery.
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