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

页码：385 / 389

页数：5

共 14 条

[11] The Analysis of Multiple Outcomes between General and Regional Anesthesia in Hip Fracture Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Viderman, Dmitriy
Aubakirova, Mina
Nabidollayeva, Fatima
Abdildin, Yerkin G.
JOURNAL OF CLINICAL MEDICINE, 2023, 12 (24)
[12] Impact of multiple nerves blocks anaesthesia on intraoperative hypotension and mortality in hip fracture surgery intermediate-risk elderly patients: A propensity score-matched comparison with spinal and general anaesthesia
Mounet, Benjamin
Choquet, Olivier
Swisser, Fabien
Biboulet, Philippe
Bernard, Nathalie
Bringuier, Sophie
Capdevila, Xavier
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE, 2021, 40 (04)
[13] Improved outcomes for spinal versus general anesthesia for hip fracture surgery: a retrospective cohort study of the National Surgical Quality Improvement Program
Weinstein, Eliana R.
Boyer, Richard B.
White, Robert S.
Weinberg, Roniel Y.
Lurie, Jacob M.
Salvatierra, Nicolas
Tedore, Tiffany R.
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2024, 49 (01) : 4 - 9
[14] Comparison of combined lumbar and sacral plexus block with sedation versus general anaesthesia on postoperative outcomes in elderly patients undergoing hip fracture surgery (CLSB-HIPELD): study protocol for a prospective, multicentre, randomised controlled trial
Zhang, Junfeng
Wang, Xiaofeng
Zhang, Hui
Shu, Zhuolin
Jiang, Wei
BMJ OPEN, 2019, 9 (03):

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