Perioperative medicine & outcomes
Association of race and receipt of regional anesthesia for hip fracture surgery
Authors' conclusion
The study suggests that racial differences exist with the utilization of regional anesthesia for hip fracture surgery.
Study context
- Population
- Patients ≥18 years old (white, black or Asian) undergoing hip fracture surgery, 2014–2020
- Participants
- 104,949 patients
- Exposure
- Black or Asian vs white race
- Outcome
- Receipt of (1) neuraxial anesthesia and (2) regional block (peripheral nerve blocks, fascial plane blocks)
Methodological detailsmultivariable logistic regression, ACS NSQIP registry
- Multivariable logistic regression
- ACS NSQIP registry
Main finding
As reported in the abstract
Receipt of neuraxial anesthesia as primary anesthetic
Each group vs whiteOdds ratio (99% CI)P value
Black
0.67(0.59–0.75)
P < 0.001Asian
2.04(1.84–2.26)
P < 0.001Observational data: associations, not effects.
Further findings
| Outcome | OR (99% CI) | P value | |
|---|---|---|---|
| Receipt of regional blockBlack vs White · multivariable logistic regression | 1.35 (1.17–1.55) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Overall use (whole cohort)
- Neuraxial anesthetic
- 16,400 (15.6%)
- Regional block
- 6264 (5.9%)
Original publication
Association of race and receipt of regional anesthesia for hip fracture surgery. Reg Anesth Pain Med. Published 3 February 2023. doi:10. 1136/ rapm-2022-104055
Composed by AI from the published abstract and checked against it. How Briefs are made →