From: General vs. neuraxial anaesthesia in hip fracture patients: a systematic review and meta-analysis
Author/Reference | Study type | Anaesthesia | Sample size | Outcome parameter | Results | Conclusion |
---|---|---|---|---|---|---|
Chu et al. 2015 [25] | Retrospective observational study | GA vs. NA (spinal/epidural) | n = 104.088 GA = 52.044 NA = 52.044 | In-hospital mortality | GA vs. NA: 1.363 (2.62%) vs. 1.107 (2.13%), p < 0.001 | The incidence of on-hospital mortality was significantly lower in the NA group. |
Heidari et al. 2011 [33] | Randomised controlled study | GA vs. NA (epidural/spinal) | n = 270 GA = 197 NA = 190 | In-hospital mortality | GA vs. NA: 0 vs. 5, p = 0.107 | The incidence of in-hospital mortality was similar in both groups. |
Le-Wendling et al. 2012 [14] | Retrospective observational study | GA vs. RA (single injection spinal, continuous spinal, continuous epidural) with or without continuous nerve block | n = 308 GA = 235 (76.30%); RA = 73 (23.70%) | In-hospital mortality | RA vs. GA: 2 (2.74) vs. 9 (3.83) | There was no difference between the in-hospital mortality. |
Neuman et al. 2012 [27] | Retrospective observational study | GA vs. NA | n = 18.158 GA = 12.904 NA = 5.254 | In-hospital mortality | GA vs NA 325 (2.5%) vs. 110 (2.1%), p = 0.090 | There was no difference for the in-hospital mortality between the two groups. |
Patorno et al. 2014 [16] | Retrospective observational study | GA vs NA (spinal/epidural) vs. GA + NA | n = 73.284 GA = 61.554 (84.0%) NA = 6.939 (9.47%); GA + RA = 4.791 (6.53%) | In-hospital mortality | In-hospital mortality: GA vs. NA: 144 vs. 1362 (risk ratio 0.93, 95% CI 0.78 to 1.11) | Mortality risk did not differ significantly between GA and NA. |