Perioperative medicine & outcomes
Regional anesthesia for distal radius fracture repair: a multicenter retrospective cohort study of perioperative outcomes and postoperative healthcare utilization
Main findingResult — go to the resultAdjusted odds ratio 3.34 95% CI 1.57–7.11Authors' 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
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