PMID- 36425088
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231003
IS  - 2574-2167 (Electronic)
IS  - 2574-2167 (Linking)
VI  - 5
IP  - 3
DP  - 2022 Sep
TI  - A systematic review and meta-analysis of anesthesia type on hip fracture 
      post-surgery outcomes.
PG  - e204
LID - 10.1097/OI9.0000000000000204 [doi]
LID - e204
AB  - 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.
CI  - Copyright (c) 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf 
      of the Orthopaedic Trauma Association.
FAU - Leibold, Christopher
AU  - Leibold C
AD  - Department of Orthopedic Surgery, Mercy Health St. Vincent Medical Center.
FAU - Falbo, Ryan
AU  - Falbo R
AD  - Department of Orthopedic Surgery, Mercy Health St. Vincent Medical Center.
FAU - Gupta, Anil
AU  - Gupta A
AD  - Toledo Orthopaedic Surgeons, Toledo, OH.
FAU - Miller, Richard
AU  - Miller R
AD  - Department of Orthopedic Surgery, Mercy Health St. Vincent Medical Center.
FAU - Pederson, John M
AU  - Pederson JM
AD  - Superior Medical Experts, Minneapolis, MN, USA.
FAU - Malpe, Manashree
AU  - Malpe M
AD  - Superior Medical Experts, Minneapolis, MN, USA.
LA  - eng
PT  - Journal Article
DEP - 20220804
PL  - United States
TA  - OTA Int
JT  - OTA international : the open access journal of orthopaedic trauma
JID - 101770383
PMC - PMC9580260
OTO - NOTNLM
OT  - anesthesia
OT  - femoral neck fracture
OT  - hip fracture
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2022/11/26 06:00
MHDA- 2022/11/26 06:01
PMCR- 2022/08/04
CRDT- 2022/11/25 02:38
PHST- 2021/07/25 00:00 [received]
PHST- 2022/03/15 00:00 [accepted]
PHST- 2022/11/25 02:38 [entrez]
PHST- 2022/11/26 06:00 [pubmed]
PHST- 2022/11/26 06:01 [medline]
PHST- 2022/08/04 00:00 [pmc-release]
AID - OTAI-D-21-00045 [pii]
AID - 10.1097/OI9.0000000000000204 [doi]
PST - epublish
SO  - OTA Int. 2022 Aug 4;5(3):e204. doi: 10.1097/OI9.0000000000000204. eCollection 
      2022 Sep.