ReviewCureus2025
Efficacy of Regional Anesthesia in Reducing Perioperative Pain and Delirium in Elderly Patients Undergoing Hip Fracture Surgery: An Umbrella Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
1 citing paper in PubMed.
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The incidence of hip fractures is a significant health concern, especially among the elderly, who are an important population to consider while doing anesthesia. Although clinical guidelines support regional anesthesia (RA) for pain management, its consistent use in hip fracture surgery remains limited. This umbrella review evaluates the efficacy of RA in reducing perioperative pain and the incidence of delirium in hip fracture patients. A comprehensive search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines across five databases (PubMed, PubMed Central, Google Scholar, ScienceDirect, and Cochrane Library) for studies published between January 1, 2015, and January 1, 2025. Of 1727 articles identified, a total of 16 systematic reviews and/or meta-analyses met the inclusion criteria after rigorous screening with the help of Microsoft Excel (Microsoft® Corp., Redmond, WA, USA) and a quality assessment according to the AMSTAR (A MeaSurement Tool to Assess Systematic Reviews) score system. Findings indicate that RA, particularly spinal anesthesia combined with femoral and fascia iliaca compartment blocks (FICBs), offers significant benefits over general anesthesia, including reduced opioid use, lower pain scores, and decreased risk of postoperative delirium. These results support RA as a preferred approach for improved outcomes, such as shorter hospital stays and enhanced postoperative recovery in geriatric patients.
Indexed as
Identifiers
What OpenQuestion holds
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.