Key result
Regional anesthesia was associated with a shorter median time to hospital discharge (67.6 vs 71.9 hours; P<0.0001) and lower in-hospital mortality (OR 0.36; 95% CI 0.16-0.75) than general anesthesia.
Why the study?
Does regional anesthesia reduce time to hospital discharge and in-hospital mortality in inpatient surgical cases?
Cohort (n=5,870)
Does regional anesthesia reduce time to hospital discharge and in-hospital mortality in inpatient surgical cases?
Odds Ratio: 0.36 (95% CI 0.16–0.75)
Absolute Event Rate: 0.6% vs 1.7%
Regional anesthesia is associated with faster hospital discharge and decreased in-hospital mortality compared to general anesthesia in surgical patients.
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Should not yet change anesthesia practice; leaves open need for randomized confirmation of benefits.
Bulka et al. (2014) conducted a cohort in Surgical patients admitted after surgery (n=5,870). Regional anesthesia vs. General anesthesia was evaluated on In-hospital mortality (OR 0.36, 95% CI 0.16-0.75). Regional anesthesia was associated with a shorter median time to hospital discharge (67.6 vs 71.9 hours; P<0.0001) and lower in-hospital mortality (OR 0.36; 95% CI 0.16-0.75) than general anesthesia.
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