Spinal VS General Anesthesia Management for Elderly Hip Fractures

$79 / year

This dataset shows strong evidence that supports similar outcomes for general or spinal anesthesia for patients undergoing hip fracture surgery.

Complexity

The work group recognizes that anesthetic techniques described in several of these articles which were published decades ago may have changed when compared with modern methods. In addition, there was significant heterogeneity in the patient populations studied, including multiple studies in which patients were not randomized.
Both general anesthesia and spinal anesthesia carry risks and benefits, which should be assessed on an individual basis. Because both forms of anesthesia appear to have similar mortality profiles, providers can consider specific circumstances that would favor one form or the other for their particular patient.

Date Created

2014-09-05

Last Modified

2014-09-05

Version

2014-09-05

Update Frequency

Never

Temporal Coverage

1971-2003

Spatial Coverage

United States

Source

John Snow Labs => American Academy of Orthopaedic Surgeons (AAOS)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hip Fractures, Spinal Anesthesia for Fractures, General Anesthesia for Fractures, Anesthesia for Hip Fractures in the Elderly, Hip Replacement, Intertrochanteric Fracture, Neck Of Femur Fracture, Femoral Neck Fracture

Other Titles

Spinal Versus General Anesthesia: Management of Hip Fractures, AAOS Guidelines on Hip Fracture Management, Spinal Anesthesia Versus General Anesthesia for Hip Fractures, Spinal Versus General Anesthesia for the Management of Elderly Hip Replacement Fractures, Spinal Versus General Anesthesia for the Management of Elderly Hip Intertrochanteric Fracture, Spinal Versus General Anesthesia for the Management of Elderly Hip and Neck Of Femur Fractures, Spinal Versus General Anesthesia for the Management of Elderly Hip and Femoral Neck Fractures

Name Description Type Constraints
StudyDescription of the previous studies used in this research.stringrequired : 1
OutcomeDescription of the reported outcomes from the participants in the use of anesthesia for the research study.stringrequired : 1
MonthDescription of the duration of the effect of the spinal or general anesthesia.string-
Group_1Description of the type of anesthesia used in the first group.stringrequired : 1
Group_2Description of the type of anesthesia used in the second group.stringrequired : 1
Population_SizeShows the number of participants or population size in a certain group that received the anesthesia.integerrequired : 1 level : Ratio
StatisticDescription of the measurable characteristic of a sample population.string-
ResultResults of the study.numberlevel : Ratio
ProbabilityEffectiveness of the result based on the hypothesis of the study.numberlevel : Ratio
Study_P_ValueStatistical significance of the results of the study.string-
FavorsDescription of which method is more effective.stringrequired : 1
StudyOutcomeMonthGroup_1Group_2Population_SizeStatisticResultProbabilityStudy_P_ValueFavors
Valentin et al 1986Mortality2 YearsSpinal AnesthesiaGeneral Anesthesia578p<0.05NS
Koval et al 1998Ambulation ability3 monthsSpinal AnesthesiaGeneral Anesthesia531NRNS
Koval et al 1998Ambulation abilityImmediateSpinal AnesthesiaGeneral Anesthesia531NRNS
Koval et al 1998Ambulation ability12 monthsSpinal AnesthesiaGeneral Anesthesia531NRNS
Valentin et al 1986Discharge (days)ImmediateSpinal AnesthesiaGeneral Anesthesia578NRNS
Davis et al 1981Mortality4 weeksSubarachnoid BlockGeneral Anesthesia132Risk ratio0.350.11NS
Koval et al 1998Functional Recovery Score12 monthsSpinal AnesthesiaGeneral Anesthesia531NRNS
Valentin et al 1986Mortality30 daysSpinal AnesthesiaGeneral Anesthesia578Risk ratio1.290.4NS
Sutcliffe et al 1994Mortality1 yearSpinal AnesthesiaGeneral Anesthesia800% risk differenceNS
Honkonen et al 1971MortalityPostopSpinal AnesthesiaGeneral Anesthesia150Risk ratio2.870.14NS