Cardiothoracic & vascular anesthesia
Association of thoracic epidural analgesia and hospital length of stay for patients undergoing thoracotomy: a retrospective cohort analysis
Authors' conclusion
Thoracic epidural use when compared with no regional anesthesia was associated with decreased length of stay following thoracotomy in our primary analysis. The difference was no longer apparent with the sensitivity analysis. Peripheral regional anesthesia was associated with decreased length of stay even after sensitivity analysis.
Study context
- Population
- Patients undergoing thoracotomy, National Surgical Quality Improvement Program dataset 2014–2020
- Participants
- 4,350 patients
- Exposure
- Thoracic epidural vs no epidural; peripheral RA vs no RA
- Epiduraln = 565
- Peripheral RAn = 472
- Outcome
- Rate of discharge
Methodological detailspropensity-matched, Fine-Gray competing risk regression, NSQIP database 2014–2020
- Propensity-matched
- Fine-Gray competing risk regression
- NSQIP database 2014–2020
Main finding
As reported in the abstract
Subdistribution hazard ratio (95% CI)
Epidural vs Non-epidural
1.09(1.01–1.18)
Peripheral RA vs No RA
1.26(1.15–1.39)
Observational data: associations, not effects.
Further findings
Rate of discharge, sensitivity analysis excluding ASA ≥4
- Epidural benefit no longer apparent
- Peripheral RA benefit remained
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Association of thoracic epidural analgesia and hospital length of stay for patients undergoing thoracotomy: a retrospective cohort analysis. Reg Anesth Pain Med. Published 8 November 2023. doi:10.
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