Perioperative medicine & outcomes
Neuraxial Compared With General Anesthesia on Postoperative Outcomes After Hip Arthroplasty for Geriatric Hip Fracture: Results From a National Database
Main finding · 30-day readmissionResult — go to the resultOdds ratio 0.92 95% CI 0.86–0.99Authors' conclusion
In geriatric patients undergoing hip arthroplasty for hip fracture, NA is associated with lower rates of 30-day readmission, fewer readmission caused by genitourinary system complaints, reduced complications, and decreased hospitalization charges compared to GA.
Study context
- Population
- Patients ≥60 years undergoing hip arthroplasty for geriatric hip fracture, Hospital Quality Monitoring System, 2013–2019
- Participants
- 62,022 patients · 31,011 PS-matched pairs
- Exposure
- Neuraxial anaesthesia vs general anesthesia (GA)
- Outcome
- 30-day readmission
- Follow-up
- 30 days
Methodological detailspropensity-score matched, national database
- Propensity-score matched
- National database
Main finding
As reported in the abstract
Odds ratio
0.92
95% CI 0.86–0.99
P = 0.032
By group
NA vs GA
OR 0.92 (95% CI 0.86–0.99); P = 0.032
Observational data: associations, not effects.
Further findings
| Outcome | NA | GA | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Readmission for genitourinary system complaints · 30 days | 0.18% | 0.26% | 0.70 (0.50–0.97) | P = 0.035 | |
| In-hospital mortality | 0.41% | 0.64% | 0.64 (0.52–0.81) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Hospitalization charges
P < 0.001
LOS · did not differ significantly
P = 0.217
Safety
| Outcome | NA | GA | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| DVT | 1.84% | 2.57% | 0.71 (0.64–0.79) | P < 0.001 | |
| PE | 0.22% | 0.38% | 0.58 (0.43–0.79) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Original publication
Neuraxial Compared With General Anesthesia on Postoperative Outcomes After Hip Arthroplasty for Geriatric Hip Fracture: Results From a National Database. Anesth Analg. Published 26 September 2025. doi:10.
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