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Spinal or general anaesthesia for surgical repair of hip fracture and subsequent risk of mortality and morbidity: A database analysis using propensity score‐matching

Anaesthesia May 01, 2020

Morgan L, McKeever TM, Nightingale J, et al. - Researchers compared patients undergoing spinal anaesthesia vs general anaesthesia during hip fracture surgery, to ascertain if there exists a significant difference in mortality as well as morbidity between these groups. They also carried out a secondary analysis to determine if there exists a difference in mortality for patients with pre‐existing cardiovascular disease or chronic obstructive pulmonary disease. This inquiry represents a clinical database study of patients managed for hip fracture in Nottingham, UK between 2004 and 2015. Propensity score‐matching was applied. Participants who received spinal rather than general anaesthesia showed no difference in 30‐ or 90‐day mortality. A lower‐risk of blood transfusion and urinary tract infection was observed in those who had a spinal anaesthetic, and the chance of encountering a chest infection, deep vein thrombosis or pulmonary embolism was more in these patients. Overall, findings revealed that the mode of anaesthesia caused no significant difference in mortality among patients undergoing hip fracture surgery, however, a significant difference was evident in various measures of postoperative morbidity.

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