Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
KOREA E & EX

Anesthesia Technique Immaterial for Hip Surgery

By HospiMedica International staff writers
Posted on 07 Jul 2014
Print article
A new study shows that regional anesthesia for hip fracture surgery, advocated as a safer alternative to general anesthesia (GA), did not result in fewer deaths after the procedure.

Researchers at the University of Pennsylvania (Philadelphia, USA) and Columbia University (New York, NY, USA) conducted a matched retrospective cohort study involving 56,729 patients 50 years or older who underwent hip fracture surgery in New York State between 2004 and 2011. In all, 15,904 (28%) received regional (spinal or epidural) anesthesia, and 40,825 (72%) received GA. The main outcome measure was 30 day mortality and hospital length of stay. Overall, 3,032 patients (5.3%) died.

The 30-day mortality rate was 5.4% among patients who lived around centers specializing in spinal or epidural blockade plus sedation, compared with 5.8% for those who resided around centers doing GA for the surgery. A comparison of the two approaches within hospitals using both approaches likewise turned up no significant difference in early survival. But a matched analysis showed 0.6-day's shorter stays among patients near a regional anesthesia-specialized center versus near a GA-specialized center. The study was published in the June 25, 2014, issue of the Journal of the American Medical Association (JAMA).

“Among adults in acute care hospitals in New York State undergoing hip repair, the use of regional anesthesia compared with general anesthesia was not associated with lower 30-day mortality but was associated with a modestly shorter length of stay,” concluded lead author Mark Neuman, MD, of the University of Pennsylvania, and colleagues. “A comparison of the two approaches within hospitals using both likewise turned up no benefit. These findings do not support a mortality benefit for regional anesthesia in this setting.”

Regional anesthesia has remained in the minority for hip fracture procedures, despite a push from practice guidelines calling for broader use of regional anesthesia for hip fracture surgery as a strategy to improve quality of care and cut postoperative complications.

Related Links:

University of Pennsylvania
Columbia University



Print article
LevMed LTD.

Channels

Surgical Techniques

view channel

Coronary Clot Aspiration Provides No MI Survival Benefit

Thrombectomy did not improve outcomes for myocardial infarct (MI) patients presenting after symptom onset, according to a new study. Researchers at University College London (UCL; United Kingdom), the University of Manchester (United Kingdom), and other institutions conducted a retrospective study based on a UK national... Read more

Women's Health

view channel
Image: The Eclipse vaginal insert in deflated (L) and Inflated (R) states (Phoyo courtesy of Pelvalon).

Vaginal Insert Offers Alternative Treatment for Fecal Incontinence

A novel vaginal insert for bowel control eliminates the need for surgery or an in-office procedure for the treatment of female fecal incontinence (FI). The second-generation Eclipse System is comprised... Read more

Health IT

view channel
Image: The Rigel 62353 Plus tester (Photo courtesy of Rigel Medical).

Advanced Safety Tester Analyzes Diverse Medical Devices

An upgraded dedicated tester meets international standards for in-service and post-repair safety testing of 24 V and 48 V DC medical electronic devices. The Rigel 62353 Plus tester offers a range of... Read more

Hospital News

view channel
Image: Site of the new HSS outpatient center in Westchester County (Photo courtesy of the RPW Group).

Hospital for Special Surgery Opens New Outpatient Center

The Hospital for Special Surgery (HSS; New York, NY, USA) has leased a 4,645 m² space in White Plains (NY, USA) from RPW Group (Rye Brook, NY, USA), which will serve as the new HSS outpatient center in... Read more

Business

view channel

Global Call for Action Against Drug-Resistant Infections

More than 80 leading international bodies came together to call on governments and industry to work in parallel and take comprehensive action against drug-resistant infections, as proclaimed in a joint declaration released at the World Economic Forum (Cologny, Switzerland), held during January 2016 in Davos (Switzerland).... Read more
Copyright © 2000-2016 Globetech Media. All rights reserved.