The association of neuraxial versus general anesthesia with inpatient admission following arthroscopic knee surgery

Journal of Clinical Anesthesia
Jennifer A PadwalRodney A Gabriel

Abstract

Arthroscopic knee procedures are increasingly being performed in an outpatient setting. Appropriate intraoperative anesthesia is vital to prevent complications such as unanticipated hospital admission. We examined differences in complications between general (GA) vs neuraxial anesthesia (NA) as the primary anesthetic for patients undergoing arthroscopic knee procedures. This was a retrospective cohort study. We queried the National Surgical Quality Improvement Program for arthroscopic knee procedures performed between 2007 and 2016. We compared postoperative complication rates between propensity-matched cohorts (NA vs GA). The anesthesia groups were matched based on age, race, BMI, gender, diabetes, smoking history, COPD, CHF, functional status, HTN, ASA class, steroid use, bleeding disorder history, and readmission status. Univariable and multivariable logistic regression were used to compare factors associated with inpatient admission - defined as hospital length of stay >1 day. A total of 57,494 patients were included - 55,257 GA and 2237 NA patients. Among the matched cohorts, NA patients were significantly more likely to be admitted to the hospital postoperatively (p < 0.001). Neuraxial anesthesia (OR 5.93, 95% CI 4.90-7.2...Continue Reading

References

Feb 1, 1995·Journal of Clinical Anesthesia·J A Aldrete
Mar 11, 2004·Journal of General Internal Medicine·Ava John-BaptisteMurray Krahn
May 29, 2004·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Magnus ForssbladLars Weidenhielm
Jun 3, 2005·Clinical Orthopaedics and Related Research·Kim C Bertin
Oct 4, 2005·Arthritis and Rheumatism·Said A IbrahimC Kent Kwoh
Feb 7, 2008·The Cochrane Database of Systematic Reviews·W LaupattarakasemC Sumananont
May 14, 2010·The Cochrane Database of Systematic Reviews·Stephan ReichenbachPeter Jüni
May 3, 2011·The Journal of Bone and Joint Surgery. American Volume·Sunny KimRichard Marder
Aug 23, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H Lubowitz, David Appleby
Oct 3, 2012·The Medical Journal of Australia·Megan A BohenskyCaroline A Brand
Oct 30, 2012·The Orthopedic Clinics of North America·Bryan D SpringerDouglas A Dennis
Dec 28, 2012·The Journal of Bone and Joint Surgery. American Volume·Andrew J PugelyJohn J Callaghan
Mar 7, 2013·The Journal of Arthroplasty·Muyibat A AdelaniGinger E Holt
Jan 28, 2014·The Cochrane Database of Systematic Reviews·Joanne GuayNathan Leon Pace
Aug 27, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Moin KhanMohit Bhandari
May 20, 2015·Circulation·Colleen K McIlvennanLarry A Allen
Jun 17, 2015·BMJ : British Medical Journal·J B ThorlundL S Lohmander
Jul 6, 2015·The Journal of Arthroplasty·Jourdan M CancienneJames A Browne
Aug 21, 2015·Clinical Orthopaedics and Related Research·Muyibat A AdelaniNicholas J Giori
Jul 22, 2016·BMJ : British Medical Journal·Teppo L N Järvinen, Gordon H Guyatt
Jul 28, 2016·Orthopedics·Jason A Boyd, Ian M Gradisar
Jan 10, 2017·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Andrzej KotelaIreneusz Kotela
Aug 5, 2017·Orthopedics·Steven F DeFrodaBrett D Owens
Sep 16, 2018·Journal of Clinical Anesthesia·Brittany N BurtonRodney A Gabriel

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