Perioperative medicine & outcomes
Improved outcomes for spinal versus general anesthesia for hip fracture surgery: a retrospective cohort study of the National Surgical Quality Improvement Program
Main findingResult — go to the resultOdds ratio 1.219 95% CI 1.076–1.381Authors' conclusion
Our propensity-matched analysis suggests that spinal anesthesia as compared with general anesthesia is associated with lower postoperative morbidity and mortality in patients undergoing hip fracture surgery.
Study context
- Population
- Patients aged 50 and older undergoing hip fracture surgery, ACS NSQIP, 2016 to 20197,358 matched spinal cases
- Participants
- 40,527 patients
- Exposure
- Spinal vs general anesthesia for hip fracture surgery
- Spinaln = 7,358reference
- Outcome
- Combined incidence of stroke, myocardial infarction (MI) or death
- Follow-up
- 30 days
Methodological detailspropensity-score matched, ACS NSQIP registry
- Propensity-score matched
- ACS NSQIP registry
Main finding
As reported in the abstract
Odds ratio
1.219
95% CI 1.076–1.381
P = 0.002
General vs Spinal
OR 1.219 (95% CI 1.076–1.381); P = 0.002
Observational data: associations, not effects.
Secondary outcomes
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| 30-day mortality | 1.276 (1.099–1.481) | P = 0.001 | |
| 0.512Odds ratio (log scale) |
Operative time
P < 0.001
Hospital LOS
P = 0.001
Original publication
Improved outcomes for spinal versus general anesthesia for hip fracture surgery: a retrospective cohort study of the National Surgical Quality Improvement Program. Reg Anesth Pain Med. Published 2 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →