Cardiothoracic & vascular anesthesia
Differences in the association between epidural analgesia and length of stay by surgery type: an observational study
Authors' conclusion
The relationship between epidural analgesia and LOS appears to be different among different surgical populations.
Study context
- Population
- Patients undergoing non-emergent open abdominal, thoracic or vascular surgery at a single tertiary academic hospital
- Participants
- 1,747 patients
- Exposure
- Epidural analgesia vs no epidural
- Epiduraln = 1,499
- Outcome
- Hospital LOS and incidence of prolonged hospital LOS (≥21 days)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Prolonged LOS, by surgery type
Epidural vs No epiduralOdds ratio (95% CI)P value
Abdominal
0.42(0.23–0.79)
P < 0.001Vascular
1.66(0.17–16.1)
P = 0.14Thoracic
1.07(0.20–5.70)
P = 0.93- Overall: 45% reduction in likelihood of prolonged length of stay (LOS) with epidural (adjusted)
- P < 0.05
- Abdominal: median decrease in LOS with epidural
- 1.4 days
- Thoracic: median increase in LOS with epidural
- 3.2 days
Observational data: associations, not effects.
Secondary outcomes
| Outcome | aOR (CI) | P value | |
|---|---|---|---|
| 30-day readmission (abdominal surgery subgroup) · 37% reduction | 0.63 (0.41–0.97) | P < 0.05 | |
| 0.512Adjusted odds ratio (log scale) |
Original publication
Differences in the association between epidural analgesia and length of stay by surgery type: an observational study. Reg Anesth Pain Med. Published 29 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →