Regional Anesthesia for Hip Fracture Surgery in Older Adults: A Retrospective Comparison of Outcomes Using ACS NSQIP Data
Regional anesthesia techniques, excluding epidural, spinal, or combined epidural-spinal techniques, were associated with lower rates of major postoperative complications in older adults undergoing hip fracture surgery compared to general or spinal anesthesia. This benefit was more pronounced in high-risk patients. Our findings suggest that regional anesthesia, most likely administered via a peripheral nerve block, may offer benefits beyond pain control in this population, potentially improving postoperative outcomes.
Authors
- Samuel M. Galvagno (ORCID: https://orcid.org/0000-0001-5563-4092)
- Nathan N. O’Hara (ORCID: https://orcid.org/0000-0003-0537-3474)
- Ron E. Samet (ORCID: https://orcid.org/0000-0001-6616-1577)
- Arissa M. Torrie (ORCID: https://orcid.org/0000-0002-9473-7729)
- Gerard P. Slobogean (ORCID: https://orcid.org/0000-0002-9111-9239)
- Rachel Johnson (ORCID: https://orcid.org/0000-0001-5902-3424)
- Robert V. O’Toole
Institutions
- University of Maryland, Baltimore (US)
Publication Details
- Journal
- Geriatric Orthopaedic Surgery & Rehabilitation
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1177/21514593251353114
- Citations
- 2
- Primary Topic
- Cardiac, Anesthesia and Surgical Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.78