Cardiothoracic & vascular anesthesia
Local Versus General Anesthesia for Endovascular Repair of Abdominal Aortic Aneurysm: A Systematic Review and Meta-analysis
Pooled result · Total hospital stayResult — go to the resultMD −1.00 day 95% CI −1.38 to −0.63Authors' conclusion
These results indicate that patients treated with LA are likely to be discharged more quickly and experience fewer adverse events.
Study context
- Population
- Patients undergoing endovascular repair of abdominal aortic aneurysm (endovascular aneurysm repair (EVAR))
- Participants
- 45,566 patients · 16 studies
- Comparison
- Local anesthesia (LA) vs general anesthesia (GA) for EVAR
- Outcome
- Total hospital stay
Methodological detailsfixed- or random-effects models
- Fixed- or random-effects models
Pooled result
As reported in the abstract
MD
−1.00 day
95% CI −1.38 to −0.63
P < 0.01
LA vs GA
MD −1.00 day (95% CI −1.38 to −0.63); P < 0.01
Further pooled results
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| MortalityInsignificant association | 0.85 (0.64–1.13) | P = 0.26 | |
| 0.512Odds ratio (log scale) |
| Outcome | MD (day) (95% CI) | P value | |
|---|---|---|---|
| ICU LOSInsignificant association | −0.20 (−0.47 to 0.07) | P = 0.14 | |
| −0.6−0.4−0.200.2Difference, day (linear scale) |
Safety
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| MI | 0.52 (0.29–0.93) | P = 0.02 | |
| Pneumonia | 0.25 (0.11–0.55) | P < 0.01 | |
| 0.10.31310Odds ratio (log scale) |
Original publication
Local Versus General Anesthesia for Endovascular Repair of Abdominal Aortic Aneurysm: A Systematic Review and Meta-analysis. J Cardiothorac Vasc Anesth. Published 26 March 2025. doi:10.
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