作者
Mark D Neuman, Jeffrey H Silber, Nabil M Elkassabany, Justin M Ludwig, Lee A Fleisher
发表日期
2012/7/1
期刊
The Journal of the American Society of Anesthesiologists
卷号
117
期号
1
页码范围
72-92
出版商
The American Society of Anesthesiologists
简介
Background
Hip fracture is a common, morbid, and costly event among older adults. Data are inconclusive as to whether epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery.
Methods
The authors examined a retrospective cohort of patients undergoing surgery for hip fracture in 126 hospitals in New York in 2007 and 2008. They tested the association of a record indicating receipt of regional versus general anesthesia with a primary outcome of inpatient mortality and with secondary outcomes of pulmonary and cardiovascular complications using hospital fixed-effects logistic regressions. Subgroup analyses tested the association of anesthesia type and outcomes according to fracture anatomy.
Results
Of 18,158 patients, 5,254 (29%) received regional anesthesia. In-hospital mortality occurred in 435 (2.4%). Unadjusted rates of …
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