Perioperative medicine & outcomes
National trends in perioperative epidural analgesia use for surgical patients
Main finding · Perioperative epidural analgesia use, all surgeriesResult — go to the resultOdds ratio 0.98 99 % CI 0.97–0.98Authors' conclusion
Rates of perioperative epidural analgesia use has decreased in recent years overall, however, among surgeries within the general surgery and vascular surgery specialty, utilization has increased for procedures that have the highest rates of usage.
Study context
- Population
- Patients undergoing general, thoracic, urologic, plastic, vascular, orthopedic, or gynecological surgery in 2014–2020, >700 hospitals in the US and 11 countries
- Participants
- 3,111,435 patients
- Exposure
- Annual trend in perioperative epidural analgesia use, 2014-2020
- Outcome
- Annual trend in perioperative epidural analgesia use (all surgeries combined)
Methodological detailsNational Surgical Quality Improvement Program database, mixed effects multivariable logistic regression
- National Surgical Quality Improvement Program database
- Mixed effects multivariable logistic regression
Main finding
As reported in the abstract
Perioperative epidural analgesia use, all surgeries
Odds ratio
0.98
99 % CI 0.97–0.98
P < 0.001
Per year
OR 0.98 (99 % CI 0.97–0.98); P < 0.001
Per year, as printed
- Received perioperative epidural analgesia
- 107,209 (3.4 %)
Observational data: associations, not effects.
Further findings
| Outcome | OR (99 % CI) | P value | |
|---|---|---|---|
| Epidural use, top 5 most frequent epidural surgeries per specialtyNo statistically significant trend | 0.99 (0.99–1.00) | P = 0.09 | |
| Epidural use, general surgery (subgroup)Increasing trend | 1.05 (1.03–1.07) | P < 0.001 | |
| Epidural use, vascular surgery (subgroup)Increasing trend | 1.08 (1.05–1.10) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Original publication
National trends in perioperative epidural analgesia use for surgical patients. J Clin Anesth. Published 1 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →