Why the study?
Does higher hospital-level utilization of neuraxial anesthesia improve 30-day survival in older patients undergoing hip fracture surgery?
Population
107,317 hip fracture patients >65 years of age from 2002 to 2014 in Ontario, Canada
Comparison
Higher hospital-level utilization of neuraxial… vs Lower hospital-level utilization of neuraxial…
Design
Cohort
Follow-up
30 days
Authors
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Higher hospital neuraxial use was associated with survival; leaves open causality and should not yet change practice.
Does higher hospital-level utilization of neuraxial anesthesia improve 30-day survival in older patients undergoing hip fracture surgery?
Hip fracture surgery patients at hospitals that use more than 20 to 25% neuraxial anesthesia have improved 30-day survival independent of patient-level anesthesia type.
McIsaac et al. (2017) studied this question.
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