Association of patient characteristics with the receipt of regional anesthesia
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 < 0.05Other non-white race vs White race
0.71(0.61–0.86)
P < 0.05ASA class vs ASA 1
0.85(0.79–0.93)
P < 0.05Medicaid insurance vs Private insurance
0.65(0.51–0.82)
P < 0.05ACLR vs TKA
0.67(0.53–0.84)
P < 0.05Ankle open reduction and internal fixation vs TKA
0.68(0.58–0.81)
P < 0.05Carpal tunnel release vs TKA
0.68(0.59–0.78)
P < 0.05TSA 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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