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Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur



Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study

McIsaac D et al. Anesthesiology 3 2018, Vol.128, 480-491

A population-based cohort study using linked administrative data in Ontario, Canada. 107,317 hip fracture patients > 65 yr of age from 2002 to 2014.

Hip fracture surgery patients at hospitals that use more than 20 to 25% neuraxial anesthesia have improved survival independent of patient-level anesthesia type and other confounders. The underlying causal mechanism for this association requires a prospective study to guide improvements in perioperative care and outcomes of hip fracture patients.

For original paper click here:

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2657156

 

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Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur

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