Evidence map›Paper›PMID 40597663›Full record

ArticleBMC anesthesiology2025

Association of anaesthesia type with one-year mortality after surgery in elderly patients: a secondary retrospective cohort study.

Ping Jin, Fengjiao Lu, Rongzhi Zhang, Panpan Lü, Shixiong Gao

Abstract read
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Article in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ping JinDepartment of Anesthesiology and Surgery, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, Gansu, 730030, China.
Fengjiao LuDepartment of Anesthesiology and Surgery, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, Gansu, 730030, China.
Rongzhi ZhangDepartment of Anesthesiology and Surgery, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, Gansu, 730030, China.
Panpan LüDepartment of Anesthesiology, The First People's Hospital of Tianshui, Tianshui, Gansu, 741000, China.
Shixiong GaoDepartment of Anesthesiology and Surgery, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, Gansu, 730030, China. Gaoshixiong999@163.com.

Funding

Natural Science Foundation of Gansu Province, China Grant No. 23JRRA0964
6 · The paper itself

Abstract

objectiveTo examine whether regional anaesthesia (RA) versus general anaesthesia (GA) is associated with the one-year postoperative mortality among the older surgical patients.

methodsWe conducted a single-center retrospective cohort study from 2012 to 2016. Patients aged 70 years or older who underwent surgery were included, and those who underwent transplantation, burn surgery, or minor procedures were excluded. The primary exposure was anaesthesia type (RA vs. GA); the main outcome was one-year all-cause mortality, which was verified through hospital records and a national registry. Demographic, clinical, and laboratory variables were included as covariates. Multivariable-adjusted logistic regression models were used to evaluate the independent effect of anaesthesia methods on one-year mortality. Kaplan-Meier curves assessed survival rates by anaesthesia method, with log-rank tests comparing the curves. MAIN

resultsAmong 16,599 older adults, 29.7% received RA. The one-year mortality rate was lower in the RA group (6.44%) than in the GA group (9.52%), yielding an adjusted odds ratio of 0.72 (95% CI, 0.63-0.82). K‒M analyses revealed improved survival in the RA group (log-rank P < 0.05). Propensity score matching and inverse probability weighting analyses corroborated these findings. The E-value of 2.12 demonstrates the robustness of the results against unmeasured confounding.

conclusionsRegional anaesthesia may be linked to better one-year survival in older patients. Although other confounding factors cannot be excluded, these findings underscore the need for multicenter, prospective investigations to inform perioperative decisions in geriatric populations.

Indexed as

Anesthesia, ConductionAnesthesia, GeneralPostoperative ComplicationsAgedAged, 80 and overCohort StudiesFemaleHumansMaleRetrospective StudiesElderly populationGeneral anaesthesiaOne-year mortalityRegional anaesthesiaRetrospective cohort study

Identifiers

PMID40597663
PMCPMC12211471

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