ArticleBMJ open2019
Comparison of general anaesthesia and regional anaesthesia in terms of mortality and complications in elderly patients with hip fracture: a nationwide population-based study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 6 of them syntheses that pooled it.
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Who cites it
54 citing papers in PubMed, 6 syntheses or guidelines pooled it, 117 citations in OpenAlex.
- Comparing perioperative outcomes between regional anesthesia and general anesthesia in patients undergoing hip fracture surgery: a systematic review and meta-analysis.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Pooled it
- Early supported discharge for older adults admitted to hospital after orthopaedic surgery: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Comparing the Effect of Spinal and General Anesthesia for Hip Fracture Surgery in Older Patients: A Meta-analysis of Randomized Clinical Trials.Orthopaedic surgery · 2023Pooled it
- Association of general anesthesia exposure with risk of postoperative delirium in patients receiving transcatheter aortic valve replacement: a meta-analysis and systematic review.Scientific reports · 2023Pooled it
- Neuraxial versus general anesthesia in elderly patients undergoing hip fracture surgery and the incidence of postoperative delirium: a systematic review and stratified meta-analysis.BMC anesthesiology · 2023Pooled it
- The Effect of General Anesthesia vs. Regional Anesthesia on Postoperative Delirium-A Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- Spatiotemporal distribution and determinants of immunization among children aged 12-23 months in Ethiopia: Using EDHS 2000, 2005, 2011, and 2016.Human vaccines & immunotherapeutics · 2026Article
- A retrospective study on the application of unilateral epidural anesthesia in older patients with hip fracture.BMC geriatrics · 2026Article
- Predictors of postoperative survival and mortality in nonagenarian surgical patients: a retrospective cohort study.BMC surgery · 2026Article
- Effect of Regional Anesthesia vs. General Anesthesia Technique on Perioperative Outcomes in Geriatric Patients With Hip Fracture: Narrative Review.Anesthesiology research and practice · 2026Review
- Bone cement implantation syndrome: a scoping review.British journal of anaesthesia · 2025Article
- Simultaneous two-level minimally invasive lumbar laminectomy performed with dual tubular retractor systems in a 93-year-old under spinal anesthesia: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Temporal Trends in the Use of Regional Anesthesia for Hip Fracture Surgery: A Retrospective Single-Center Study.Cureus · 2025Article
- The impact of anesthesia methods on postoperative outcomes of lower limb surgeries in elderly patients over 90 years old: A multicenter propensity-matched study.BMC anesthesiology · 2025Article
- Comparing general and regional anesthesia in patients undergoing primary total hip arthroplasty: analysis of national health insurance data in Korea.Frontiers in medicine · 2025Article
- Xyla-P Cream vs. Lidocaine Spray: Impact on Patient Satisfaction, Anxiety, Cooperation, and Pain in Spinal Anesthesia for Cesarean Section.Anesthesiology and pain medicine · 2024Article
- Article
- Pericapsular nerve group block followed by regional anesthesia for pathological fracture fixation in a multiple myeloma patient.Clinical case reports · 2024Article
- Carbon footprint in trauma surgery, is there a way to reduce it?Journal of anesthesia, analgesia and critical care · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effects of anaesthesia on postoperative outcome in elderly patients who underwent hip fracture surgery.
settingNationwide National Health Insurance Sharing Service database of Korea.
participantsAll patients aged ≥65 years old who underwent hip fracture surgery, covered by the Korean National Health Insurance, between 1 January 2009 and 31 December 2015.
interventionsHip fracture surgery under general anaesthesia (group GA) or regional anaesthesia (group RA), with a principal diagnosis of femoral fracture. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the anaesthetic-type effect on 30-day mortality and the secondary outcome was postoperative delirium requiring pharmacological intervention.
resultsAmong the 96 289 patients who underwent hip fracture surgery, 25 593 and 70 696 patients received GA and RA, respectively. After propensity score matching, 25 593 remained in each group. Postmatching mortality was lower in the RA than in the GA group (574 (2.24%) vs 654 (2.55%), p=0·0047, 95% CI -0.0099 to 0.0159). Delirium incidence was lower in the RA than in the GA group (5187 (20.27%) vs 5828 (22.77%), p<0·0001, 95% CI 0.019 to 0.045). The incidence of intensive care unit stay and ventilator care was lower in the RA than in the GA group (5838 (22.1%) vs 8055 (31.47%), p<0·0001, 95% CI 0.046 to 0.070 and 459 (1.73%) vs 1207 (4.72%), p<0·0001, 95% CI -0.0024 to 0.023, respectively).
conclusionRA was associated with better outcomes than GA, in terms of mortality, delirium, intensive care unit admission and ventilator care, in elderly patients who underwent hip fracture surgery.
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