Perioperative medicine & outcomes

Association of race and receipt of regional anesthesia for hip fracture surgery

Reg Anesth Pain MedPublished Retrospective cohort study

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 < 0.001
Asian
2.04(1.84–2.26)
P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeOR (99% CI)P value
Receipt of regional blockBlack vs White · multivariable logistic regression1.35 (1.17–1.55)P < 0.001

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 →

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