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Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults

by Sieber, Frederick , Hymes, Robert A , Chin, Ki-Jinn , Giska, Mark , Menio, Diane , Ellenberg, Susan S , Papp, Steven , Li, Jinlei , Sessler, Daniel I , Fleisher, Lee A , Sheppard, Richard , Stone, Trevor , Sanders, Robert D , Carson, Jeffrey L , Marshall, Mitchell , Luke, Charles , Schwenk, Eric S , Neuman, Mark D , Nader, Antoun , Dattilo, James , Sharma, Balram , Gaskins, Lakisha J , Kates, Stephen , Tedore, Tiffany , Vlassakov, Kamen , Feng, Rui , Hoeft, Mark A , Sappenfield, Joshua , Kwofie, M. Kwesi , Elkassabany, Nabil , Choi, Stephen , Dillane, Derek , Azim, Syed , Perlman, Barry , Marcantonio, Edward R , Ranganath, Yatish , Mehta, Samir , Magaziner, Jay , Allen, Brian F.S , Hauck, Ellen , Tierney, Ann , Ayad, Sabry , Stephens-Shields, Alisa J , Jaffe, J. Douglas

in Aged / Aged, 80 and over / Aging / Aging General / Anesthesia / Anesthesia, General - adverse effects / Anesthesia, Spinal - adverse effects / Clinical decision making / Clinical Practice / Death / Delirium / Delirium - epidemiology / Delirium - etiology / Female / Fractures / General anesthesia / Geriatrics / Health risks / Hip / Hip Fractures - mortality / Hip Fractures - physiopathology / Hip Fractures - surgery / Hip joint / Hospitalist / Hospitals / Humans / Incidence / Interviews / Male / Medical records / Neurology / Neurosurgery / Neurosurgery General / Older people / Orthopedics / Orthopedics General / Patient safety / Patient-centered care / Patients / Postoperative Complications - epidemiology / Postoperative Complications - etiology / Primary Care / Recovery of Function / Regional anesthesia / Surgery / Surgery General

2021

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2021

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2021

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Journal Article

Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults

Sieber, Frederick,

Hymes, Robert A,

Chin, Ki-Jinn,

Giska, Mark,

Menio, Diane,

Ellenberg, Susan S,

Papp, Steven,

Li, Jinlei,

Sessler, Daniel I,

Fleisher, Lee A,

Sheppard, Richard,

Stone, Trevor,

Sanders, Robert D,

Carson, Jeffrey L,

Marshall, Mitchell,

Luke, Charles,

Schwenk, Eric S,

Neuman, Mark D,

Nader, Antoun,

Dattilo, James,

Sharma, Balram,

Gaskins, Lakisha J,

Kates, Stephen,

Tedore, Tiffany,

Vlassakov, Kamen,

Feng, Rui,

Hoeft, Mark A,

Sappenfield, Joshua,

Kwofie, M. Kwesi,

Elkassabany, Nabil,

Choi, Stephen,

Dillane, Derek,

Azim, Syed,

Perlman, Barry,

Marcantonio, Edward R,

Ranganath, Yatish,

Mehta, Samir,

Magaziner, Jay,

Allen, Brian F.S,

Hauck, Ellen,

Tierney, Ann,

Ayad, Sabry,

Stephens-Shields, Alisa J,

Jaffe, J. Douglas

2021

Overview

A randomized trial evaluating spinal as compared with general anesthesia for hip-fracture surgery in adults 50 years of age or older did not show superiority of spinal anesthesia with respect to a composite of death or an inability to walk unassisted at 60 days. Postoperative delirium occurred in similar percentages of patients in the two groups.

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Publisher

Massachusetts Medical Society

Subject

/ Aging

/ Anesthesia, General - adverse effects

/ Anesthesia, Spinal - adverse effects