A systematic review and meta-analysis of anesthesia type on hip fracture post-surgery outcomes
| Autor: | Christopher Leibold, DO, Ryan Falbo, DO, Anil Gupta, MD, Richard Miller, DO, John M. Pederson, BS, Manashree Malpe, PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | OTA International, Vol 5, Iss 3, p e204 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2574-2167 00000000 |
| DOI: | 10.1097/OI9.0000000000000204 |
| Popis: | Abstract. Objective:. To compare technical, clinical, and safety outcomes among hip fracture patients treated with procedures supplemented by general anesthesia (GA) or spinal/regional anesthesia (S/R). Data sources:. We searched for original studies on PubMed, Ovid MEDLINE, Ovid Embase, and Cochrane databases. Study selection:. Studies that reported clinical outcomes in patients that underwent hip fracture surgery, had available data on type of anesthesia administered, and clinical follow-up data were selected for data extraction. Data extraction:. The primary outcomes of interest were odds of mortality, including in-hospital, 30-day, 90-day, and 1-year mortality. Various adverse events (AEs) were also compared. Data synthesis:. Twenty-eight studies met our selection criteria, including 190,394 patients. A total of 107,314 (56.4%) patients were treated with procedures involving GA while 83,080 (43.6%) were treated with procedures involving S/R. There was no difference in 30-day or >1-year mortality rates between the GA and SR groups; however, compared to S/R group, the GA group had a significantly higher odds of in-hospital (P = .004) and 90-day mortality (P = .004). There was no difference in odds of adverse events between the GA and the S/R group. Conclusions:. Patients administered S/R for hip fracture procedures demonstrate lower risk of in-hospital mortality and 90-day mortality compared to patients administered GA. Level of evidence:. Therapeutic level III. |
| Databáze: | Directory of Open Access Journals |
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