SynthesisZeitschrift fur Gerontologie und Geriatrie2014
Mode of anesthesia, mortality and outcome in geriatric patients.
Synthesis in Zeitschrift fur Gerontologie und Geriatrie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Burr hole evacuation of chronic subdural hematoma in general versus local anesthesia: a systematic review and meta-analysis.Acta neurochirurgica · 2025Pooled it
- Trochanteric fragility fractures : Treatment using the cement-augmented proximal femoral nail antirotation.Operative Orthopadie und Traumatologie · 2016Trial
- Patients risk for mortality at 90 days after proximal femur fracture - a retrospective study in a tertiary care hospital.BMC geriatrics · 2024Article
- Orthogeriatric care-outcome of different fragility fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Goal-directed fluid therapy using uncalibrated pulse contour analysis and balanced crystalloid solutions during hip revision arthroplasty: a quality implementation project.Journal of orthopaedic surgery and research · 2023Observational
- [Plastic-surgical reconstruction of the lower extremity in senior patients].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Do Patients Aged 85 Years and above Benefit from Their Cochlear Implants?Audiology research · 2023Article
- Anesthetic management of geriatric patients.Korean journal of anesthesiology · 2020Review
- The Fascia Iliaca Block as the Primary Intraoperative Anesthesia for Hip Fracture Surgery: A Preliminary Study.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2018Article
- Leading Comorbidity associated with 30-day post-anesthetic mortality in geriatric surgical patients in Taiwan: a retrospective study from the health insurance data.BMC geriatrics · 2017Article
- [Anesthesiological care of trauma patients in orthogeriatric co-management].Der Anaesthesist · 2017Review
- [Anesthesiological care in orthogeriatric co-management. Perioperative treatment of geriatric trauma patients].Zeitschrift fur Gerontologie und Geriatrie · 2016Article
- [Proximal femoral fractures in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2015Review
- A rare case of delayed subarachnoid anesthetic blockade effects in a 103-year-old female patient.Surgical neurology international · 2015Article
- Fascia Iliaca Block as an Anesthetic Technique for: Acute Lower Limb Ischemia.Anesthesia, essays and researchesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn older non-cardiac surgery patients, the influence of the mode of anesthesia on late-term outcome (rehabilitation, mobility, independence) is a controversial issue in the medical literature. In light of an aging society, this review assessed the association between regional (RA), local (LA) and general anesthesia (GA) and mortality and morbidity.
methodsA literature search within the PubMed and Cochrane databases yielded 47 clinical trials and 35 reviews/meta-analyses published between 1965 and 2013. Potential outcome-influencing factors such as mortality, risk factors, early complications (e.g. postoperative confusion, aspiration, vomiting), adverse events (e.g. deep vein thrombosis, pulmonary embolism), discharge, rehabilitation and mobilization were evaluated in relation to the mode of anesthesia (RA, LA or GA).
resultsThe current literature contains 82 references covering 74,476 non-cardiac surgery patients. Analysis shows that the particular mode of anesthesia influences mortality and morbidity. RA is associated with reduced early mortality and morbidity, e.g. fewer incidents of deep vein thrombosis and less acute postoperative confusion, as well as a tendency toward fewer myocardial infarctions and fatal pulmonary embolisms. GA has the advantages of a lower incidence of hypotension and reduced surgery time.
conclusionStrictly speaking, true anesthesia-related complications appear to be rare and many adverse outcomes may be multifactorial. Postoperative complications are largely related to the perioperative procedure and not to the anesthesia itself. GA and RA are both useful for older non-cardiac patients, but for some procedures, e.g. hip fracture surgery, RA seems to be the technique of choice. The mode of anesthesia may only play a secondary role in mobility, rehabilitation and discharge destination. In general, due to the many different possible outcomes--which are often very difficult or impossible to compare--no other specific recommendations can be made with regard to the type of anesthesia to be preferred for older non-cardiac patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.