Key result
General anesthesia was associated with a significantly higher 3-month mortality rate (33.6% vs 5.2%) and an 8-fold increased risk of death (OR 8.069) compared to neuraxial anesthesia in elderly patients with hip fractures.
Why the study?
To determine the optimal type of anesthesia for elderly patients undergoing hip fracture surgery to reduce intensive care need, mortality, and costs.
Does neuraxial anesthesia reduce mortality, intensive care need, and costs compared to general anesthesia in elderly patients with hip fracture?
Cross-Sectional (n=204)
No
Does neuraxial anesthesia reduce mortality, intensive care need, and costs compared to general anesthesia in elderly patients with hip fracture?
Neuraxial anesthesia is associated with lower mortality, reduced intensive care needs, and lower costs compared to general anesthesia in elderly patients undergoing hip fracture surgery.
Neuraxial anesthesia may be preferable in elderly hip fracture patients; leaves open causal confirmation in randomized trials.
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Gökalp et al. (2023) conducted a cross-sectional in hip fracture (n=204). General anesthesia vs. Neuraxial anesthesia was evaluated on 3-month mortality (OR 8.069, 95% CI 2.778-23.436, p=<0.001). General anesthesia was associated with a significantly higher 3-month mortality rate (33.6% vs 5.2%) and an 8-fold increased risk of death (OR 8.069) compared to neuraxial anesthesia in elderly patients with hip fractures.
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