Utilization of regional anesthesia for open reduction and internal fixation of clavicular fractures is associated with increased same-day discharge and not readmissions.

Regional Anesthesia and Pain Medicine
Alexander BeletskyRodney A Gabriel

Abstract

Regional anesthesia is becoming increasingly used for analgesia in clavicular surgery. The purpose of the study is to examine same-day discharge and readmissions in patients with clavicular fractures receiving open reduction and internal fixation, comparing those who received regional anesthesia to those that did not. The National Surgical Quality Improvement Program registry was used to build a retrospective cohort with the primary and secondary outcomes of same-day discharge and readmission rates, respectively. The independent variable was type of anesthesia (ie, regional vs general). Unadjusted univariable followed by multivariable logistic regression analysis for the association of each covariate with the primary and secondary outcome was performed. A p<0.05 was considered statistically significant. A total of 2300 patients were included, in which 346 (15.0%) of received a nerve block. The only factor associated with same-day discharge on crude analysis was the use of a nerve block (OR 1.70, 95% CI 1.21 to 2.40, p<0.01). Factors not associated with same-day discharge included geriatric age (OR 0.39, 95% CI 0.26 to 0.57, p<0.01), diabetes mellitus (OR 0.54, 95% CI 0.33 to 0.89, p=0.01), dependent functional status (OR 0.27, ...Continue Reading

References

Jan 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael D McKeeJeffrey Potter
Jan 4, 2007·The Journal of Bone and Joint Surgery. American Volume·UNKNOWN Canadian Orthopaedic Trauma Society
Sep 23, 2008·The Orthopedic Clinics of North America·Won Kim, Michael D McKee
Oct 15, 2013·Regional Anesthesia and Pain Medicine·De Q H TranAndrea P González
Apr 22, 2014·Regional Anesthesia and Pain Medicine·Derek DillaneKristen Gadbois
Apr 22, 2014·Regional Anesthesia and Pain Medicine·Luis Fernando Valdés-Vilches, Manuel Jesús Sánchez-del Águila
Jun 21, 2017·Anesthesia and Analgesia·Jiabin LiuNabil M Elkassabany

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Citations

Jan 12, 2021·Anaesthesia·D F Johnston, L R Turbitt

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