Regional anesthesia

Association of patient characteristics with the receipt of regional anesthesia

Reg Anesth Pain MedPublished Retrospective cohort study

Authors' conclusion

RA use varies with respect to race, insurance status, and type of surgery.

Study context

Population
Adults (≥18 years) undergoing total shoulder arthroplasty (TSA), total knee arthroplasty (TKA), anterior cruciate ligament reconstruction (ACLR), carpal tunnel release, ankle open reduction and internal fixation, or arteriovenous fistula creation, January 2016–June 2021
Participants
51,776 adults
Exposure
Patient characteristics associated with receipt of regional anesthesia (RA)
Outcome
Receipt of RA (neuraxial anesthesia or upper/lower extremity peripheral nerve blocks)
Methodological detailsnational hospital database, multivariable regression
  • National hospital database
  • Multivariable regression

Main finding

As reported in the abstract

Receipt of RA
Odds ratio (95% CI)P value
Black race vs White race
0.73(0.62–0.86)
P < 0.05
Other non-white race vs White race
0.71(0.61–0.86)
P < 0.05
ASA class vs ASA 1
0.85(0.79–0.93)
P < 0.05
Medicaid insurance vs Private insurance
0.65(0.51–0.82)
P < 0.05
ACLR vs TKA
0.67(0.53–0.84)
P < 0.05
Ankle open reduction and internal fixation vs TKA
0.68(0.58–0.81)
P < 0.05
Carpal tunnel release vs TKA
0.68(0.59–0.78)
P < 0.05
TSA vs TKA
1.31(1.08–1.58)
P < 0.05
Received RA
2111 (4.1%)

Observational data: associations, not effects.

Original publication

Association of patient characteristics with the receipt of regional anesthesia. Reg Anesth Pain Med. Published 12 January 2023. doi:10.1136/rapm-2022-103916

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