Table 2 Complications and findings in included studies
Study (1st author year) | In-hospital mortality | 30-day mortality | Pneumonia | Delirium | Findings | ||||
|---|---|---|---|---|---|---|---|---|---|
GA | RA | GA | RA | GA | RA | GA | RA | ||
Basques [7] 2015 | 450 | 166 | 261 | 109 | There was no clear overall advantage of one type of anesthesia over the other | ||||
Benjamin [8] 2021 | 3 | 5 | 5 | 5 | 2 | 9 | No significant difference | ||
Brox [9] 2016 | 177 | 113 | No significant difference | ||||||
Chu [10] 2015 | 1363 | 1107 | NA was associated with fewer odds of adverse outcomes than GA | ||||||
Elisabetta [11] 2014 | 1362 | 144 | Mortality risk did not differ significantly by anesthesia type | ||||||
Fields [12] 2015 | 171 | 65 | GA had a higher risk of thirty-day complications as compared to SA | ||||||
Heidari [13] 2011 | 0 | 1 | Increased blood loss in GA group | ||||||
Helwani [14] 2015 | 20 | 15 | RA was associated with a reduction in deep surgical site infection rates, hospital length of stay, and rates of postoperative cardiovascular and pulmonary complications | ||||||
Li [4] 2022 | 4 | 8 | 0 | 1 | 24 | 29 | RA without sedation did not significantly reduce the incidence of postoperative delirium compared with GA | ||
Linda [15] 2012 | 9 | 2 | No significant difference | ||||||
Neuman [16] 2012 | 325 | 110 | 359 | 153 | RA was associated with a lower odds of inpatient mortality and pulmonary complications | ||||
Neuman [17] 2014 | 2197 | 835 | Do not support a mortality benefit for regional anesthesia in this setting | ||||||
Neuman [5] 2021 | 124 | 130 | No significant difference | ||||||
Parker [18] 2015 | 8 | 5 | 3 | 2 | 0 | 3 | No significant difference | ||
Radcliff [19] 2008 | 301 | 186 | GA had a higher risk of 30-day mortality | ||||||
Seitz [20] 2014 | 691 | 665 | No significant difference | ||||||
Shih [21] 2010 | 5 | 2 | 9 | 3 | 6 | 1 | GA with an increased risk of postoperative morbidity | ||
Tung [22] 2016 | 189 | 104 | RA was not associated with 30-day mortality, but was associated with lower 30-day all-cause and surgical site infection readmission compared with GA | ||||||
White [23] 2014 | 1066 | 1713 | No significant difference | ||||||
White [24] 2016 | 53 | 87 | The type of anesthetic technique is not associated with patient outcome | ||||||
Wood [25] 2011 | 23 | 37 | Significant difference in hypotension favoring low dose spinal | ||||||