Perioperative medicine & outcomes
Functional recovery of wrist surgery with regional versus general anesthesia: a prospective observational study
Authors' conclusion
Regional anesthesia was not associated with improved functional recovery compared with general anesthesia.
Study context
- Population
- Adults with a distal radial fracture undergoing orthopedic wrist surgery
- Participants
- 76 adults
- Exposure
- RA vs GA for distal radial fracture wrist surgery
- Outcome
- Functional recovery (QuickDASH and PRWE questionnaires, range of motion, grip strength; higher scores worse)
- Follow-up
- 12 weeks post surgery
Methodological detailssingle-centre
- Single-centre
Main finding
QuickDASH (higher scores worse)
Adjusted mean difference
−0.3
95% CI −9.6 to 9.0
P = 0.9
By group
RA
22.7
GA
19.3
RA vs GA
adjusted mean difference −0.3 (95% CI −9.6 to 9.0); P = 0.9
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | RA | GA | Adjusted mean difference (95% CI) | P value | |
|---|---|---|---|---|---|
| PRWE (higher scores worse) · 12 weeks post surgery | 21.0 | 20.5 | −3.3 (−12.1 to 5.6) | P = 0.93 | |
| −15−10−50510Difference (linear scale) |
Range of motion, satisfaction, postoperative pain
- Similar between groups
Right-hand grip strength
- Higher in the GA group
Original publication
Functional recovery of wrist surgery with regional versus general anesthesia: a prospective observational study. Can J Anaesth. Published 6 November 2023. doi:10. 1007/ s12630-023-02615-y
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