Perioperative medicine & outcomes

Regional anesthesia for distal radius fracture repair: a multicenter retrospective cohort study of perioperative outcomes and postoperative healthcare utilization

Reg Anesth Pain MedPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted odds ratio 3.34 95% CI 1.57–7.11

Authors' conclusion

In patients undergoing distal radius fracture repair, regional anesthesia was associated with improved acute perioperative pain, reduced opioid use, and shortened recovery time. However, it was associated with higher rates of early pain-related postoperative healthcare utilization, the drivers of which remain incompletely understood.

Study context

Population
Adults undergoing operative fixation of a distal radius fracture, integrated US healthcare system, 2017–20228,052 identified
Participants
5,635 adults
Exposure
Brachial plexus block vs no block
  • Blockn = 3,740
  • No blockn = 1,895reference
Outcome
ED visit for pain
Follow-up
Within 7 days of surgery
Methodological detailsmulticentre, integrated US healthcare system
  • Multicentre
  • Integrated US healthcare system

Main finding

As reported in the abstract

Adjusted odds ratio

3.34

95% CI 1.57–7.11

P < 0.001

By group

Block vs No block
aOR 3.34 (95% CI 1.57–7.11); P < 0.001

Observational data: associations, not effects.

Secondary outcomes

Perioperative opioid use, PACU pain scores, postoperative nausea and vomiting (PONV), surgical duration, PACU and hospital LOS

Lower opioid use, pain scores, PONV, and shorter surgical, PACU and hospital stays with block
P < 0.001 for all

Original publication

Regional anesthesia for distal radius fracture repair: a multicenter retrospective cohort study of perioperative outcomes and postoperative healthcare utilization. Reg Anesth Pain Med. Published 15 June 2026. doi:10.1136/rapm-2026-107741

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.