2022
article
Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery
Mark D. Neuman, Rui Feng, Susan S. Ellenberg, Daniel I. Sessler, Eric S. Schwenk, Derek Dillane, Edward R. Marcantonio, Diane Menio, Sabry Ayad, Manal Salah Hassan, Trevor Stone, Steven Papp, Derek J. Donegan, Mitchell Marshall, J. Douglas Jaffe, Charles Luke, Balram Sharma, Syed Azim, Robert A. Hymes, Richard Sheppard, Barry B. Perlman, Joshua W. Sappenfield, Ellen Hauck, Mark A. Hoeft, Ann Tierney, Annamarie D. Horan, James Dattilo, Jeffrey L. Carson, Ariana Franco-Mora, Pamela Hedrick, Matthew Newbern, Rafik Tadros, Karen Pealer, Carolyn Buckley, Lauren Gavin, Svetlana Gorbatov, Avery Vafai, Jose Zeballos, Ashley Berry, John Getchell, Nicholas Quercetti, Damien Billow, Michael R. Bloomfield, Mehrun K. Elyaderani, Daniel Kim, David Krahe, Conjeevram B. Maheshwer, Azfar Niazi, Partha Saha, Ahmed Salih, Robert J. de Swart, Andrew Volio, Kelly Bolkus, Matthew DeAngelis, Jeffrey Gerritsen, Brian McEniry, Ludmil Mitrev, Kwesi Kwofie, Anne C. Belliveau, Flynn Bonazza, Izabela Panek, Chris Chavez, Jason Craig, Cheryl Fleetwood, Chris Getto, Susie Hailes, Sarah Hermes, Andy Hooper, Greg Koener, Kate Kohls, Leslie Law, Adam Lipp, Allison Losey, William Nelson, Mario Nieto, Pam Rogers, Steve Rutman, Garrett Scales, Tom Stanciu, Michelle Giampiccolo, Dara Herman, Margit Kaufman, Bryan D Murphy, Clara Pau, Thomas Puzio, Kelly Apostle, Dory Boyer, Mike Lemke, Richard N. Merchant, Farhad Moola, Kyrsten Payne, Bertrand Perey, Darius G. Viskontas, Mark Poler, Patricia D’Antonio, Greg O’Neill, Christina W. Fidkowski, S. Trent Guthrie, William Hakeos, Lillian Hayes, Joseph Hoegler, Jaslynn Cuff, Greg E. Gaski, Sharon Haaser, Arjan Malekzadeh, Jeff E. Schulman, Cary C. Schwartzbach, Tangwan Azefor, Arman Davani, Courtney Masear, Syed Basit Haider, Carolyn Chungu, Ali Ebrahimi, Karim Fikry, Andrew Marcantonio, Anitha Shelvan, Collin Clarke, Gary Schwartz, Joseph Kim, Juan Caruci, Ekow Commeh, Randy Cuevas, Lola Franco, Melissa Allman, James Cossaro, Armando D’Arduini, Anita Farhi, John Kafel, Anuj U. Patel, Hadas Reshef, Fiore Toscano, Michael Akerman, Eric Brumberger, Sunday Clark, Anita Jegarl, Joseph M. Lane, John P. Lyden, Nili Mehta, William M. Ricci, Kaitlyn Sbrollini, Peter A.D. Steel, Michele Steinkamp, Roniel Weinberg, David S. Wellman, Paul C. Fitzgerald, Greg Bryson, Alexandra Craig, Cassandra Farhat, Braden Gammon, Wade Gofton, Nicole Harris, Bradley Meulenkamp, Kendra Sonnenburg, Eugene K. Wai, Geoffrey Wilkin, Karen Troxell, Mary Alderfer, Jason Brannen, Renee McLin, Julie Sheidy, Katherine Yurick, Fei Chen, Deborah McCloskey, Carlos Sagebien, Gail McKelvy, Anna Richards, Ramon Abola, Darcy Halper, Ana C. Mavarez, Sabeen Rizwan, Stephen Choi, Imad T. Awad, Brendan P. Flynn, Patrick Henry, Lilia Kaustov, Meera Gonzalez, Jon Livelsberger, Bridget Slattery, Maritza Vazquez-Trejo, Jaime L. Baratta, Michael Cirullo, Brittany Deiling, Laura Deschamps, Daniel Katz, James C. Krieg, J Lessin, Jeffrey Mojica, Marc C. Torjman, Mary Jane Salpeter, Jeffrey W. Simmons, Prentiss Lawson, Shanna Graves, Adam Sturdivant, Sandra Joyce Crump, Michelle J. Verrier, James Green, Richard L. Applegate, Ana Carolina Amaya Arias, Natasha Pineiro, Jeffrey Uppington, Phillip Wolinsky, Kevin Hollen, Brian Holloway, MaryBeth Horodyski, Trevor Pogue, Ramachandran Ramani, Cameron Smith, Anna Woods, Matthew Warrick, Yatish Ranganath, Esperanza Ingersoll-Weng, Anil A. Marian, Melinda Seering, Zita A. Sibenaller, Lori Stout, Allison Wagner, Alicia Walter, Cynthia A. Wong, Maithri Goud, Chris Helker, Brittany Montgomery, Peter Preston, J. Sanford Schwartz, Ramona Weber, Lee A. Fleisher, Samir Mehta, Alisa J. Stephens‐Shields, Cassandra Dinh, Wende Goncz, Touichi Kawabe, Amy Monroe, Vladislav Shick, Max W. Breidenstein, Timothy Dominick, Alexander T. Friend, Donald M. Mathews, Robert D. Sanders, Helen Akere, Tyler Balweg, Amber Y. Bo, Christopher Doro, Gerald J. Lang, Maggie Parker, Mary T. Roth, Marissa White, Paul S. Whiting, Brian F.S. Allen, Matt McEvoy, Teresa Turnbo, Teresa Willoughby, David B. Auyong, Sean Dobson, Christopher J. Edwards, Lynette Harris, Kathleen N. Johnson, Glen Mckinney, Jon Reynolds, B. Scott Segal, Jimmy Turner, David P. VanEenenaam, Robert S. Weller, Jineli Lei, Miriam M. Treggiari, Chanel Johnson, Michael Kampp, Kimberly Kunze, Jared Dabiri, David Sanders, Matthew Giuca, Mark Powell, Stephen L. Kates, Jinlei Li, Sachin Kheterpal, Reneé H. Moore, Alexander K. Smith, Laura L. Tosi, Jennifer Hruslinski, Lolita Ramsey, Christine Langlois, Thomas Rose, Thomas Looke, Joseph Kim, Geza Kiss, Kamen Vlassakov, G Lobel, Richard Lennertz, Sabry Ayad
60Citations signalées, ce qui n’est pas une note de qualité
26Institutions déclarées
2Pays d’affiliation déclarés
Rattachement africain : us, ca.
Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The REGAIN (Regional versus General Anesthesia for Promoting Independence after Hip Fracture) trial found similar ambulation and survival at 60 days with spinal versus general anesthesia for hip fracture surgery. Trial outcomes evaluating pain, prescription analgesic use, and patient satisfaction have not yet been reported. OBJECTIVE: To compare pain, analgesic use, and satisfaction after hip fracture surgery with spinal versus general anesthesia. DESIGN: Preplanned secondary analysis of a pragmatic randomized trial. (ClinicalTrials.gov: NCT02507505). SETTING: 46 U.S. and Canadian hospitals. PARTICIPANTS: Patients aged 50 years or older undergoing hip fracture surgery. INTERVENTION: Spinal or general anesthesia. MEASUREMENTS: Pain on postoperative days 1 through 3; 60-, 180-, and 365-day pain and prescription analgesic use; and satisfaction with care. RESULTS: A total of 1600 patients were enrolled. The average age was 78 years, and 77% were women. A total of 73.5% (1050 of 1428) of patients reported severe pain during the first 24 hours after surgery. Worst pain over the first 24 hours after surgery was greater with spinal anesthesia (rated from 0 [no pain] to 10 [worst pain imaginable]; mean difference, 0.40 [95% CI, 0.12 to 0.68]). Pain did not differ across groups at other time points. Prescription analgesic use at 60 days occurred in 25% (141 of 563) and 18.8% (108 of 574) of patients assigned to spinal and general anesthesia, respectively (relative risk, 1.33 [CI, 1.06 to 1.65]). Satisfaction was similar across groups. LIMITATION: Missing outcome data and multiple outcomes assessed. CONCLUSION: Severe pain is common after hip fracture. Spinal anesthesia was associated with more pain in the first 24 hours after surgery and more prescription analgesic use at 60 days compared with general anesthesia. PRIMARY FUNDING SOURCE: Patient-Centered Outcomes Research Institute
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery
- Date Crossref
- 01/07/2022
- Éditeur
- American College of Physicians
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Les sujets associés
Hip and Femur FracturesAnesthesia and Pain ManagementCardiac, Anesthesia and Surgical Outcomes