Table 6 Results of the length of hospital stay
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 |
|---|---|---|---|---|---|---|
Basques et al. 2015 [8] | Retrospective observational study | GA vs. SA | n = 9.842 GA = 7.253 (73.7%) SA = 2.589 (26.3%) | Length of hospital stay (LOS) | LOS: GA vs SA: (HR: 1.28, 95% CI 1.22 to 1.34, p < 0.001) | GA was associated with a shorter LOS. |
Chu et al. 2015 [25] | Retrospective observational study | GA vs. NA (spinal/epidural) | n = 104.088 GA = 52.044 NA = 52.044 | Length of hospital stay | LOS: GA vs. NA: 10.77 (8.23) vs. 10.44 (6.67), p < 0.001 | The length of hospital stay was significantly shorter in the neuraxial anaesthesia group. |
Heidari et al. [33] | Randomised controlled trial | GA vs. NA (spinal/epidural) | n = 387 GA = 197 NA = 190 | Length of hospital stay | LOS: GA vs. NA: 8.4 (3.5) vs. 7.7 (3.4) | The length of hospital stay was significantly shorter in the NA group. |
Helwani et al. 2015 [10] | Retrospective observational study | GA vs NA (SA/EA) | n = 12.929 GA = 7.826 (60.5%) NA = 51.03 (39.5%) [SA = 4.377 (85.8%); EA = 126 (2.5%)] | Length of hospital stay (LOS) | LOS: OR = 0.73; 95% CI = 0.68 to 0.89, p < 0.001 | NA anaesthesia was associated with a reduction in LOS. |
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%) | Length of hospital stay (LOS) | LOS: RA vs. GA: 6.4 vs. 6.6 days, p = 0.64 | There was no difference in the length of hospital stay. |
Neuman et al. 2014 [15] | Retrospective observational study | GA vs. NA (spinal/epidural) | n = 56.729 GA = 40.825 (72%) NA = 15.904 (28%) | Length of hospital stay (LOS) | LOS: NA = 6 days (95% CI: 6 to 6.1) vs. GA = 6.3 days (95% CI: 6.2 to 6.3), p < 0.001 | NA was associated with modestly shorter LOS. |
Parker et al. 2016 [31] | Randomised controlled study | GA vs. SA | n = 322 GA = 164 (50.93%) SA = 158 (49.07%) | Length of hospital stay (LOS) | LOS in days (standard deviation): GA = 15.9 (13.7); SA = 16.2 (14.6); p = 0.75 | There was no difference in the length of hospital stay. |
Rashid et al. 2013 [17] | Retrospective observational study | GA vs. NA(epidural/spinal) | n = 194 GA = 107 (55.15%) NA = 87 (44.85%) | Length of hospital stay (LOS) | LOS: GA = 9.35 ± 9.0, NA = 8.63 ± 3.6, p = 0.484 | There were no statistic differences between LOS. |
Shih et al. 2010 [18] | Retrospective observational study | GA vs. SA | n = 335 GA = 167 (49.85%) SA = 168 (50.15%) | Length of hospital stay (LOS) | LOS:GA vs. SA 9 (4-45) days vs. 8 (2-92) days, p = 0.04 | The LOS was significantly shorter in the spinal anaesthesia group. |
Seitz et al. 2014 [19] | Retrospective observational study | GA (inhalational, intravenous, GA combined with epidural or local anaesthesia) vs. SA | n = 20.973 GA = 8.818 (42.1%) SA = 12.155 (57.9%) | Length of hospital stay (LOS) | LOS in days (± standard deviation): GA = 16.1 (20.2), SA = 16.0 (23.6), p = 0.72 | There was no difference in the length of hospital stay |
Sevtap et al. 2013 [20] | Retrospective observational study | GA vs. SA vs. EA | n = 185 GA = 67 (36.21%) SA = 67 (36.21%) EA = 51 (27.58%) | Length of hospital stay (LOS) | LOS: GA = 13.6 ± 8.9, SA = 12.5 ± 5.2, EA = 15.7 ± 9.4, p = 0.228 | There was no difference in the length of hospital stay |
White et al. 2016 [26] | Retrospective observational study | GA vs. SA (with or without peripheral nerve block) | n = 10,564 GA = 5508 SA = 5056 | Length of hospital stay (SD) | LOS: GA vs. SA: 19.12 (20.03) vs. 18.70 vs. 18.37 | There was no difference in the length of hospital stay |