Is Spinal Anesthesia Safer than General Anesthesia for Patients Undergoing Revision THA? Analysis of the ACS-NSQIP Database.

Clinical Orthopaedics and Related Research
Jacob M WilsonGeorge N Guild

Abstract

The incidence of revision THA continues to increase and there is a need to identify risk factors contributing to postoperative complications. Anesthesia type has been shown to be associated with complication rates in patients who undergo primary THA, but it is not clear whether the same is true among patients undergoing revision THA. (1) After controlling for confounding variables, in the setting of a large-database analysis, is spinal anesthesia associated with a lower risk of death, readmission, reoperation, postoperative transfusion, thromboembolic events, surgical site infection (SSI), and re-intubation among patients undergoing revision THA? The American College of Surgeons-National Surgical Quality Improvement (ACS-NSQIP) database was queried for patients undergoing aseptic, revision THA with either spinal or general anesthesia. Coarsened exact matching was used to match patients based on several baseline characteristics, including age, sex, body mass index, surgery type (Current Procedural Terminology code), and the modified Frailty Index score. Coarsened exact matching is a statistical method of exact matching that matches on chosen characteristics, in which continuous variables may be temporarily coarsened (such as, in...Continue Reading

References

Mar 1, 1989·The Journal of Bone and Joint Surgery. British Volume·F M DavisE Newman
Feb 1, 1983·Anesthesia and Analgesia·J ModigB Sahlstedt
Nov 1, 1980·British Journal of Anaesthesia·J ThorburnR Vallance
Mar 17, 2001·Regional Anesthesia and Pain Medicine·P JuelsgaardK Søballe
May 23, 2003·Anesthesia and Analgesia·Tanja A TreschanAndrea Kurz
Jan 24, 2004·Anesthesiology·Kathrine HolteHenrik Kehlet
Sep 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Jeffrey N KatzElena Losina
Dec 7, 2005·Clinical Orthopaedics and Related Research·Pier Francesco IndelliThomas Parker Vail
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern
Aug 8, 2008·Journal of Anesthesia·Shin Kurosawa, Masato Kato
Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Kevin J BozicDaniel J Berry
Feb 14, 2009·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hideo YasunagaKazuhiko Ohe
Apr 11, 2009·Clinical Orthopaedics and Related Research·Steven M KurtzKevin J Bozic
Jul 2, 2009·The Journal of Bone and Joint Surgery. British Volume·S HuZ-D Cai
Dec 28, 2012·The Journal of Bone and Joint Surgery. American Volume·Andrew J PugelyJohn J Callaghan
Sep 21, 2013·The New England Journal of Medicine·Thomas C TsaiAshish K Jha
Feb 6, 2015·The Journal of Bone and Joint Surgery. American Volume·Mohammad A HelwaniHeiko A Kaiser
Mar 20, 2015·The Journal of Bone and Joint Surgery. American Volume·Bryce A BasquesJonathan N Grauer
Sep 4, 2015·The Journal of Bone and Joint Surgery. American Volume·Hilal Maradit KremersDaniel J Berry
Nov 26, 2015·The Journal of Arthroplasty·Aakash KeswaniCalin S Moucha
Sep 1, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Daniel D BohlJonathan N Grauer
Apr 27, 2017·The Journal of Arthroplasty·Robert P RunnerGeorge N Guild
Jun 1, 2017·The Journal of Arthroplasty·Jaime L BellamyJames R Roberson
Nov 21, 2017·Journal of the American College of Surgeons·Sneha SubramaniamCelia M Divino
Jan 5, 2018·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Lu-Yang ZhouZheng-Liang Ma
Mar 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Sean S RajaeeGuy D Paiement
May 15, 2018·Pain Practice : the Official Journal of World Institute of Pain·Katharina DonauerAlexander Wolf
Oct 20, 2018·The Journal of Arthroplasty·Sophia A TravenZeke J Walton

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Citations

Jan 4, 2021·Archives of Orthopaedic and Trauma Surgery·Felix PrangeMustafa Citak
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Ryan LeeJoseph R O'Brien
Jul 28, 2021·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Ryan LeeRajeev Pandarinath

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