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10.3109/17453674.2015.1128781

http://scihub22266oqcxt.onion/10.3109/17453674.2015.1128781
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suck abstract from ncbi


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pmid26986550      Acta+Orthop 2016 ; 87 (2): 152-7
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  • Similar mortality with general or regional anesthesia in elderly hip fracture patients #MMPMID26986550
  • Brox WT; Chan PH; Cafri G; Inacio MC
  • Acta Orthop 2016[]; 87 (2): 152-7 PMID26986550show ga
  • BACKGROUND AND PURPOSE: There is continuing confusion among practitioners with regard to the optimal choice of anesthetic type for repair of hip fractures. We investigated whether type of anesthetic was associated with short-term mortality after hip fracture surgery. PATIENTS AND METHODS: We conducted a retrospective cohort study of patients with surgically treated hip fractures, performed between January 1, 2009 and December 31, 2012. Exposure of interest was anesthesia type (general, spinal/neuroaxial, and mixed). Endpoints were 30-, 90-, and 365-day post-surgery mortality. Multivariable conditional logistic regression models were used and odds ratios (ORs) and 95% confidence intervals (CIs) are reported. RESULTS: Of the 7,585 participants, 5,412 (71%) were women and the median age was 80 (IQR: 72-85) years old. Of the total cohort, 4,257 (56%) received general anesthesia, 3,059 (40%) received spinal/neuroaxial, and 269 (4%) received mixed anesthesia. Overall, the incidence of 30-, 90-, and 365-day mortality was 4% (n = 307), 8% (n = 583), and 15% (n = 1,126), respectively. When compared with general anesthesia, the 365-day odds of mortality was marginally lower in patients with spinal/neuroaxial anesthesia (OR = 0.84, CI: 0.70-1.0), but it was similar in patients with mixed anesthesia (OR = 1.3, CI: 0.70-2.3). No other statistically significant differences were observed. INTERPRETATION: Regarding mortality, this study does not support specific recommendations regarding the type of anesthetic in surgery of fractured hips.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Anesthesia, Conduction/*mortality[MESH]
  • |Anesthesia, General/*mortality[MESH]
  • |Anesthesia, Spinal/mortality[MESH]
  • |California/epidemiology[MESH]
  • |Female[MESH]
  • |Hip Fractures/*mortality/surgery[MESH]
  • |Humans[MESH]
  • |Logistic Models[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]


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