Key result
General versus neuraxial anesthesia shows no difference in 30-day mortality after acute hip fracture surgery.
Why the study?
Does the anaesthetic technique affect the 30-day mortality rate in elderly patients undergoing acute hip fracture surgery?
Population
13,649 patients ≥50 years old who had undergone acute hip fracture surgery and been reported to Swedish…
Comparison
Neuraxial anaesthesia or general anaesthesia or… vs Comparison between different anaesthetic…
Design
Cohort
Follow-up
30-day
Authors
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No association seen between anaesthetic technique and 30-day mortality; leaves open whether RCTs would confirm equivalence in hip fracture patients.
Cohort (n=13,649)
Yes
Does the anaesthetic technique affect the 30-day mortality rate in elderly patients undergoing acute hip fracture surgery?
Absolute Event Rate: 7.8% vs 7.7%
p-value: p=0.967
The choice of anaesthetic technique (neuraxial vs general) does not impact 30-day mortality in elderly patients undergoing acute hip fracture surgery.
Grémillet et al. (2018) conducted a cohort in Acute hip fracture (n=13,649). General anaesthesia vs. Neuraxial anaesthesia was evaluated on 30-day mortality (p=0.967). The choice of anaesthetic technique, whether general or neuraxial, had no significant impact on 30-day mortality (7.8% vs 7.7%) in patients aged 50 years and older undergoing acute hip fracture surgery.
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