Key result
Spinal anaesthesia shows no difference in 30-day mortality versus general anaesthesia for hip fracture surgery.
Why the study?
Despite longstanding debate, the optimal mode of anaesthesia (general or spinal) for hip fracture surgery remains unclear.
Does spinal anaesthesia reduce mortality and morbidity compared to general anaesthesia in patients undergoing surgical repair of hip fracture?
Population
7164 propensity score-matched patients treated for hip fracture in Nottingham, UK
Comparison
Spinal anaesthesia vs general anaesthesia
Design
Propensity score-matched clinical database analysis
Follow-up
90 days
Authors
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Spinal anaesthesia offers no mortality advantage over general anaesthesia; leaves open whether morbidity changes justify selective use pending randomized data.
Observational (n=7,164)
Does spinal anaesthesia reduce mortality and morbidity compared to general anaesthesia in patients undergoing surgical repair of hip fracture?
Odds Ratio: 0.97 (95% CI 0.8–1.15)
p-value: p=0.764
In patients undergoing hip fracture surgery, spinal anaesthesia does not improve 30- or 90-day mortality compared to general anaesthesia, but alters the postoperative morbidity profile.
Morgan et al. (2020) conducted an observational in Hip fracture (n=7,164). Spinal anaesthesia vs. General anaesthesia was evaluated on 30-day mortality (OR 0.97, 95% CI 0.8-1.15, p=0.764). Spinal anaesthesia for hip fracture surgery resulted in no significant difference in 30-day mortality compared with general anaesthesia (OR 0.97; 95% CI 0.8-1.15; p=0.764).
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