Regional Anesthesia for Hip Fracture Study not Associated with Fewer Deaths: Study

Regional Anesthesia for Hip Fracture Study not Associated with Fewer Deaths: Stu

A population-based study did not find regional anesthesia for hip fracture surgery to be associated with fewer deaths after the procedure. Generally, regional anesthesia is considered safer alternative than general anesthesia for hip fracture surgery.

Researchers from the University of Pennsylvania in Philadelphia carried out comparative analysis of both the approaches. It was found that the 30-day mortality rate after hip fracture among patients who lived around centers specializing in spinal or epidural blockade plus sedation was 5.4%.

Mortality rate for patients who resided around centers doing general anesthesia for the surgery was found to be 5.8%. No major difference was found in early survival when it came to the comparison of both the services.

When analysis of the data from the New York Statewide Planning and Research Cooperative System (SPARCS) was carried out, researchers found a shorter length of stay linked with regional anesthesia. The analysis showed 0.6-day's shorter stays among patients near a regional anesthesia-specialized center when compared with near a general anesthesia-specialized center.

"For many years people believed that regional anesthesia was better for patients undergoing elective hip surgery but the literature on type of anesthesia for hip fracture did not indicate any difference", said Andrew Rosenberg, Chair of anesthesiology at NYU Langone Medical Center in New York City.

Kevin Grant, Orthopedic Trauma Surgeon at Beaumont Health System in Royal Oak, said it is great to have options without taking tension about compromising with patient outcomes. The result will allow the surgeons and anesthesiologists to work together and choose the best anesthetic for patient.


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