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Study: General anesthesia linked to increased risk of mortality among elderly hip fracture patients

Wednesday, April 4, 2018   (0 Comments)
Posted by: Diane Berg
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Findings published online in the journal Clinical Orthopaedics and Related Research suggest that use of general anesthesia and conversion from regional to general anesthesia may be associated with increased risk of mortality for older patients with hip fracture. The authors reviewed data on 16,695 patients aged 65 years or older. Compared with regional anesthesia, they found that patients treated with general anesthesia had a higher likelihood of overall 90-day mortality. However, they also note that when stratified by before and after hospital discharge, but within 90 days of surgery, the increased risk was observed only during the inpatient stay, with no difference in mortality observed after hospital discharge. The authors state that patients who underwent conversion from regional to general also had a higher overall mortality risk compared with those who underwent regional anesthesia. Overall, patients who underwent general anesthesia were at higher risk for all-cause readmission compared with regional anesthesia patients. The authors observed no difference in risk of 90-day Agency for Healthcare Research and Quality outcomes based on anesthesia type.

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