There is (probably) no (meaningful) difference in (most) outcomes between ′spinal′ and ′general′anaesthesia for hip fracture surgery: time to move forward

被引：2
|
作者：
White, Stuart M. [1 ]
Shelton, Clifford L. [3 ,4 ]
Tedore, Tiffany [2 ]
机构：
[1] Univ Hosp Sussex NHS Fdn Trust, Brighton, England
[2] NewYork Presbyterian Hosp Weill Cornell, Weill Cornell Med Coll, New York, NY USA
[3] Manchester Univ NHS Fdn Trust, Wythenshawe Hosp, Manchester, England
[4] Univ Lancaster, Lancaster Med Sch, Lancaster, England
来源：
BRITISH JOURNAL OF ANAESTHESIA | 2023年 / 130卷 / 04期
关键词：
general anaesthesia; geriatric anaesthesia; hip fracture; postoperative outcomes; spinal anaesthesia; GENERAL-ANESTHESIA; TRIAL; MORTALITY; AUDIT; MODE; RISK;
D O I：
10.1016/j.bja.2023.01.013
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A meta-analysis influenced by two recent large randomised controlled trials (REGAIN and RAGA) concluded that little, if any, difference in commonly measured outcomes exists between patients administered spinal or general anaesthesia for their hip fracture surgery. We explore whether there is genuinely no difference, or what the methodological problems in research might be that prevent any real difference from being observed. We also discuss the need for greater nuance in future research to determine how anaesthetists might deliver perioperative care towards improving postoperative re-covery trajectories in patients following hip fracture.
引用
收藏
页码：385 / 389
页数：5
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