Cardiothoracic & vascular anesthesia
Utilization and Outcomes of Epidural Anesthesia Versus Regional Anesthesia for Thoracic Surgery: An ACS-NSQIP Analysis
Authors' conclusion
The rate of peripheral nerve blocks in thoracic surgery increased over time. Patients receiving peripheral nerve blocks, relative to epidural anesthesia, had better outcomes.
Study context
- Population
- Adults (>18 y) undergoing thoracic surgery, >800 US hospitals, ACS-NSQIP 2014–2022
- Participants
- 18,433 adults
- Exposure
- Peripheral nerve block vs epidural as adjunct to GA in thoracic surgery
- Outcome
- Hospital LOS
Methodological detailspropensity score-weighted, multicentre registry (ACS-NSQIP)
- Propensity score-weighted
- Multicentre registry (ACS-NSQIP)
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Serious morbidityPeripheral nerve block vs Epidural · propensity score-weighted | 0.81 (0.76–0.86) | P < 0.001 | |
| MortalityPeripheral nerve block vs Epidural · propensity score-weighted | 0.74 (0.59–0.92) | P = 0.008 | |
| 0.512Odds ratio (log scale) |
Peripheral nerve block utilization over time · 2014 to 2022
- Increased over time, steady increase for lobectomy or pneumonectomy
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Utilization and Outcomes of Epidural Anesthesia Versus Regional Anesthesia for Thoracic Surgery: An ACS-NSQIP Analysis. J Cardiothorac Vasc Anesth. Published 15 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →