Why the study?
Does general anesthesia improve ambulation and functional recovery in elderly patients with hip fracture compared to other anesthetic techniques?
Does general anesthesia improve ambulation and functional recovery in elderly patients with hip fracture compared to other anesthetic techniques?
Anesthetic technique does not significantly impact long-term functional recovery or ambulation in elderly patients following hip fracture when adjusting for confounding variables.
Does not support altering anesthetic choice to improve hip fracture recovery; leaves open confirmation via randomized trials.
The effect of anesthetic technique on ambulation and functional recovery after hip fracture was studied in a series of 631 community dwelling, elderly patients. Functional recovery at followup was determined by an 11-item functional rating scale. In univariate analysis, recovery of ambulatory ability and percent functional recovery were significantly higher at 6 months for patients who had general anesthesia. When controlling for potential confounding variables, however, no differences were observed in recovery of ambulatory ability or percent functional recovery between the two groups at 3, 6, or 12 months after hip fracture.
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Koval et al. (1998) studied this question.
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