A retrospective observational study on the types of anaesthesia in hip fracture surgery.
Delirium
Epidural
Hypotension
Length of stay
Spinal
Journal
Journal of perioperative practice
ISSN: 2515-7949
Titre abrégé: J Perioper Pract
Pays: England
ID NLM: 101271023
Informations de publication
Date de publication:
Historique:
pubmed:
2
7
2021
medline:
10
1
2023
entrez:
1
7
2021
Statut:
ppublish
Résumé
There is no specific recommendation regarding the type of anaesthesia in hip fracture surgery. This study sought to examine the current local anaesthetic practice (general anaesthesia versus regional anaesthesia (RA)) in hip fracture surgery and to analyse their associations with perioperative outcomes. A retrospective observational study of hip fracture patients from April to December 2017 was undertaken. Patient characteristics and perioperative outcomes were analysed against the types of anaesthesia using multiple logistic regression. One hundred and twelve out of 154 patients (72.7%) had a general anaesthesia. Patients from residential care facilities were more likely to receive general anaesthesia (OR = 2.9, 95% CI: 1.1, 7.4; Regional anaesthesia may be considered in patients without contraindications in view of increased risk of postoperative delirium and hypotension, and longer length of stay with general anaesthesia. A larger prospective study is needed to confirm these findings.
Sections du résumé
BACKGROUND
There is no specific recommendation regarding the type of anaesthesia in hip fracture surgery.
OBJECTIVES
This study sought to examine the current local anaesthetic practice (general anaesthesia versus regional anaesthesia (RA)) in hip fracture surgery and to analyse their associations with perioperative outcomes.
METHODOLOGY
A retrospective observational study of hip fracture patients from April to December 2017 was undertaken. Patient characteristics and perioperative outcomes were analysed against the types of anaesthesia using multiple logistic regression.
RESULTS
One hundred and twelve out of 154 patients (72.7%) had a general anaesthesia. Patients from residential care facilities were more likely to receive general anaesthesia (OR = 2.9, 95% CI: 1.1, 7.4;
CONCLUSION
Regional anaesthesia may be considered in patients without contraindications in view of increased risk of postoperative delirium and hypotension, and longer length of stay with general anaesthesia. A larger prospective study is needed to confirm these findings.
Identifiants
pubmed: 34197241
doi: 10.1177/17504589211006020
doi:
Types de publication
Observational Study
Journal Article
Langues
eng