Effects of regional versus general anesthesia on outcomes after total hip arthroplasty: A retrospective propensity-matched cohort study

Journal of Bone and Joint Surgery - American Volume

Volumn 97, Issue 3, 2015, Pages 186-193

  Helwani, Mohammad A ^a   Avidan, Michael S ^a   Ben Abdallah, Arbi ^a   Kaiser, Dagmar J ^a   Clohisy, John C ^a   Hall, Bruce L ^a   Kaiser, Heiko A ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; CARDIOVASCULAR DISEASE; COHORT ANALYSIS; FEMALE; GENERAL ANESTHESIA; HOSPITALIZATION; HUMAN; INTERMETHOD COMPARISON; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MORBIDITY; PRIORITY JOURNAL; REGIONAL ANESTHESIA; RESPIRATORY TRACT DISEASE; RETROSPECTIVE STUDY; REVIEW; SURGICAL INFECTION; SURGICAL MORTALITY; TOTAL HIP PROSTHESIS; TREATMENT OUTCOME; ADVERSE EFFECTS; EPIDEMIOLOGY; FACTUAL DATABASE; HIP ARTHROPLASTY; PROPENSITY SCORE; REGISTER; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; UNITED STATES;

AGED; ANESTHESIA, CONDUCTION; ANESTHESIA, GENERAL; ARTHROPLASTY, REPLACEMENT, HIP; DATABASES, FACTUAL; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; PROPENSITY SCORE; REGISTRIES; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; UNITED STATES;

EID: 84922379638     PISSN: 00219355     EISSN: 15351386     Source Type: Journal    
DOI: 10.2106/JBJS.N.00612     Document Type: Review

References (37)

1. Kurtz S, Ong K, Lau E, Mowat F, HalpernM. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007 Apr;89(4):780-5.
2. Fu KMG, Smith JS, Polly DW Jr, Ames CP, Berven SH, Perra JH, McCarthy RE, Knapp DR Jr, Shaffrey CI; Scoliosis Research Society Morbidity and Mortality Committee. Correlation of higher preoperative American Society of Anesthesiology grade and increased morbidity and mortality rates in patients undergoing spine surgery. J Neurosurg Spine. 2011 Apr;14(4):470-4. Epub 2011 Feb 4.
3. Parvizi J, Johnson BG, Rowland C, Ereth MH, Lewallen DG. Thirty-day mortality after elective total hip arthroplasty. J Bone Joint Surg Am. 2001 Oct;83(10):1524-8.
4. Singh JA, Kundukulam J, Riddle DL, Strand V, Tugwell P. Early postoperative mortality following joint arthroplasty: a systematic review. J Rheumatol. 2011 Jul; 38(7):1507-13.
5. Hunt LP, Ben-Shlomo Y, Clark EM, Dieppe P, Judge A, MacGregor AJ, Tobias JH, Vernon K, Blom AW; National Joint Registry for England, Wales and Northern Ireland. 90-day mortality after 409,096 total hip replacements for osteoarthritis, from the National Joint Registry for England and Wales: a retrospective analysis. Lancet. 2013 Sep 28;382(9898):1097-104.
6. Kettner SC, Willschke H, Marhofer P. Does regional anaesthesia really improve outcome? Br J Anaesth. 2011 Dec;107(Suppl 1):i90-5.
7. Banz VM, Jakob SM, Inderbitzin D. Review article: improving outcome after major surgery: pathophysiological considerations. Anesth Analg. 2011 May;112(5):1147-55. Epub 2010 Aug 24.
8. Hollmann MW, Wieczorek KS, Smart M, Durieux ME. Epidural anesthesia prevents hypercoagulation in patients undergoing major orthopedic surgery. Reg Anesth Pain Med. 2001 May-Jun;26(3):215-22.
9. Neuman MD, Silber JH, Elkassabany NM, Ludwig JM, Fleisher LA. Comparative effectiveness of regional versus general anesthesia for hip fracture surgery in adults. Anesthesiology. 2012 Jul;117(1):72-92.
10. Le-Wendling L, Bihorac A, Baslanti TO, Lucas S, Sadasivan K, Wendling A, Heyman HJ, Boezaart A. Regional anesthesia as compared with general anesthesia for surgery in geriatric patients with hip fracture: does it decrease morbidity, mortality, and health care costs? Results of a single-centered study. Pain Med. 2012 Jul;13(7):948-56. Epub 2012 Jul 3.
11. Wijeysundera DN, Beattie WS, Austin PC, Hux JE, Laupacis A. Epidural anaesthesia and survival after intermediate-to-high risk non-cardiac surgery: a populationbased cohort study. Lancet. 2008 Aug 16;372(9638):562-9. Epub 2008 Aug 8.
12. Mauermann WJ, Shilling AM, Zuo Z. A comparison of neuraxial block versus general anesthesia for elective total hip replacement: a meta-analysis. Anesth Analg. 2006 Oct;103(4):1018-25.
13. Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T, MacMahon S. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ. 2000 Dec 16;321(7275):1493.
14. O'Hara DA, Duff A, Berlin JA, Poses RM, Lawrence VA, Huber EC, Noveck H, Strom BL, Carson JL. The effect of anesthetic technique on postoperative outcomes in hip fracture repair. Anesthesiology. 2000 Apr;92(4):947-57.
15. Strum EM, Zelman V, Szenohradszki J, Reyes ML, McPherson EJ. [Primary and re-arthroplasty of the hip or knee joints in patients 80 years of age and older] [Russian]. Anesteziol Reanimatol. 2012 May-Jun;(3):4-8.
16. Memtsoudis SG, Sun X, Chiu YL, Stundner O, Liu SS, Banerjee S, Mazumdar M, Sharrock NE. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology. 2013 May;118(5):1046-58.
17. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 Apr;61(4):344-9.
18. Shiloach M, Frencher SK Jr, Steeger JE, Rowell KS, Bartzokis K, Tomeh MG, Richards KE, Ko CY, Hall BL. Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program. J Am Coll Surg. 2010 Jan;210(1):6-16. Epub 2009 Nov 22.
19. Austin PC. Some methods of propensity-score matching had superior performance to others: results of an empirical investigation and Monte Carlo simulations. Biom J. 2009 Feb;51(1):171-84.
20. Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharm Stat. 2011 Mar-Apr;10(2):150-61.
21. Stuart EA. Matching methods for causal inference: A review and a look forward. Stat Sci. 2010 Feb 1;25(1):1-21.
22. Bland JM, Altman DG. Transformations, means, and confidence intervals. BMJ. 1996 Apr 27;312(7038):1079.
23. Bland JM, Altman DG. The use of transformation when comparing two means. BMJ. 1996 May 4;312(7039):1153.
24. Singh JA, Jensen MR, Harmsen WS, Gabriel SE, Lewallen DG. Cardiac and thromboembolic complications and mortality in patients undergoing total hip and total knee arthroplasty. Ann Rheum Dis. 2011 Dec;70(12):2082-8. Epub 2011 Oct 21.
25. Ho DE, Imai K, King G, Stuart EA. Matching as nonparametric preprocessing for reducing model dependence in parametric causal inference. Polit Anal. 2007; 15: 199-236.
26. Lumley T. Analysis of complex survey samples. J Stat Softw. 2004;9(8):1-19.
27. Urquhart DM, Hanna FS, Brennan SL, Wluka AE, Leder K, Cameron PA, Graves SE, Cicuttini FM. Incidence and risk factors for deep surgical site infection after primary total hip arthroplasty: a systematic review. J Arthroplasty. 2010 Dec;25 (8):1216-22.e1: 3. Epub 2009 Oct 30.
28. Sessler DI. Neuraxial anesthesia and surgical site infection. Anesthesiology. 2010 Aug;113(2):265-7.
29. Chang CC, Lin HC, Lin HW, Lin HC. Anesthetic management and surgical site infections in total hip or knee replacement: a population-based study. Anesthesiology. 2010 Aug;113(2):279-84.
30. Liu J, Ma C, Elkassabany N, Fleisher LA, Neuman MD. Neuraxial anesthesia decreases postoperative systemic infection risk compared with general anesthesia in knee arthroplasty. Anesth Analg. 2013 Oct;117(4):1010-6. Epub 2013 Sep 10.
31. Ciepicha1 J, Kübler A. Effect of general and regional anesthesia on some neutrophil functions. Arch Immunol Ther Exp (Warsz). 1998;46(3):183-92.
32. Treschan TA, Taguchi A, Ali SZ, Sharma N, Kabon B, Sessler DI, Kurz A. The effects of epidural and general anesthesia on tissue oxygenation. Anesth Analg. 2003 Jun;96(6):1553-7.
33. Cryer C, Gulliver P, Langley JD, Davie G. Is length of stay in hospital a stable proxy for injury severity? Inj Prev. 2010 Aug;16(4):254-60. Epub 2010 Jun 29.
34. Cots F, Elvira D, Castells X, Sáez M. Relevance of outlier cases in case mix systems and evaluation of trimming methods. Health Care Manag Sci. 2003 Feb; 6(1):27-35.
35. Hu S, Zhang ZY, Hua YQ, Li J, Cai ZD. A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis. J Bone Joint Surg Br. 2009 Jul;91(7):935-42.
36. Park JH, Rasouli MR, Mortazavi SMJ, Tokarski AT, Maltenfort MG, Parvizi J. Predictors of perioperative blood loss in total joint arthroplasty. J Bone Joint Surg Am. 2013 Oct 2;95(19):1777-83.
37. Memtsoudis SG, Sun X, Chiu YL, Nurok M, Stundner O, Pastores SM, Mazumdar M. Utilization of critical care services among patients undergoing total hip and knee arthroplasty: epidemiology and risk factors. Anesthesiology. 2012 Jul;117(1): 107-16.