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April 1, 2016MedicineOpen Access

The Effect of Anesthetic Type on Outcomes of Hip Fracture Surgery

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Why the study?

Does regional anesthesia reduce 30-day mortality and readmission in patients undergoing hip fracture surgery compared to general anesthesia?

Population

17,189 patients hospitalized for hip fracture surgery in 2011 in Taiwan.

Comparison

Regional anesthesia vs General anesthesia

Design

Cohort

Follow-up

30-day

Authors

YTYu‐Chi TungNational Taiwan UniversityYHYa-Hui HsuNational Taiwan UniversityGCGuann-Ming ChangMackay Memorial Hospital

Discussion

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Implication

Does not support changing anesthesia type to reduce mortality in hip fracture surgery; leaves open readmission benefit for randomized confirmation.

Structured PICO

Does regional anesthesia reduce 30-day mortality and readmission in patients undergoing hip fracture surgery compared to general anesthesia?

P
Population
17,189 patients hospitalized for hip fracture surgery in 2011 in Taiwan.
I
Intervention
Regional anesthesia
C
Comparator
General anesthesia
O
Outcome
30-day all-cause mortality, 30-day all-cause readmission, and 30-day specific-cause readmissionhard clinical

In patients undergoing hip fracture surgery, regional anesthesia is associated with lower 30-day readmission rates but similar 30-day mortality compared to general anesthesia.

Cite This Study

Tung et al. (2016) studied this question.

synapsesocial.com/papers/6a8bb00b90fae8fd47e98a7ahttps://doi.org/10.1097/md.0000000000003296
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Regional Anesthesia as Compared with General Anesthesia for Surgery in Geriatric Patients with Hip Fracture: Does It Decrease Morbidity, Mortality, and Health Care Costs? Results of a Single-Centered Study2012 · 79 citations
  2. 2Outcome by mode of anaesthesia for hip fracture surgery. An observational audit of 65 535 patients in a national dataset2014 · 170 citations
  3. 3Patient Risk Factors, Operative Care, and Outcomes Among Older Community-Dwelling Male Veterans with Hip Fracture2008 · 191 citations
  4. 4General Compared with Spinal Anesthesia for Total Hip Arthroplasty2015 · 215 citations
  5. 5Sedation Depth During Spinal Anesthesia and Survival in Elderly Patients Undergoing Hip Fracture Repair2014 · 76 citations