Perioperative medicine & outcomes
Anaesthesia practice, quality indices including all‐cause 30‐day mortality associate to wrist fracture repositioning and surgery in Sweden: A perioperative register‐based study 2018–2021
Authors' conclusion
General anaesthesia or general anaesthesia combined with regional anaesthesia are the most used anaesthetic techniques for wrist fracture procedures in Sweden. Recovery room pain, PONV, hypothermia and urinary retention is reported in overall low frequencies, with no change over the period studied, but in lower frequencies for regional anaesthesia. All-cause 30-day mortality was low; 0.08% with no change over time or between anaesthetic techniques.
Study context
- Population
- Patients aged >18 years with wrist fracture reposition or surgery requiring anaesthesia, Swedish Perioperative Register (SPOR), 2018–2021
- Participants
- 25,147 procedures
- Exposure
- Anaesthesia techniques: General anaesthesia (GA), GA + regional anaesthesia (RA), RA with or without sedation, sedation only
- Outcome
- Anaesthesia techniques used and quality indices including all-cause 30-day mortality
- Follow-up
- 30 days
Methodological detailsnational register (SPOR)
- National register (SPOR)
Main finding
As reported in the abstract
- All-cause 30-day mortality, overall (19 of 25,147)
- 0.08%
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Pain, PONV and RR stay, RA vs GASignificantly lower pain and PONV, shorter RR stay with RA | P < 0.001 |
Age and ASA class over time · 2018–2021
- Mean age, 2018 to 2021 (p < .001)
- 52.8 ± 18.6 to 54.0 ± 18.4
- ASA class 3-5, 2018 to 2021 (p < .041)
- 8.1% to 9.4%
Safety
Most reported side-effects during recovery room stay
- Pain at arrival in recovery room
- 3.4%
- Severe pain during recovery room stay
- 2.1%
- Hypothermia
- 1.4%
- Postoperative nausea and vomiting (PONV)
- 1.2%
- Urinary retention
- 0.5%
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →