Economic Analysis of Regional Versus General Anesthesia for Hip Fracture Surgery
Journal Title: UNKNOWN - Year 2016, Vol 1, Issue 1
Abstract
Background The economic burden of the treatment of hip fracture would be enormous, especially in countries like Iran with an aging population and limited financial resources. The choice of anesthetic technique for hip fracture surgery is controversial. We conducted this retrospective 4 year study to evaluate the effect of regional versus general anesthesia on the length of hospital stay and the cost of hospitalization in an academic governmental setting. Methods We reviewed the medical records of 751 adult patients who underwent a surgery for intertrochanteric or femoral neck fracture since 2008 to 2012 in a University hospital located in Tehran, Iran. Data regarding days of hospital stay and total direct hospitalization costs as well as patients’ demographics were analyzed based on the type of planned anesthesia. The source of data collection was local electronic database. Results Neuraxial anesthesia was associated with less hospital stay and costs in patients with intertrochanteric fracture surgery. The advantage of neuraxial over general anesthesia was not statistically significant in patients with femoral neck fracture. Conclusions Neuraxial anesthesia followed by meticulous postoperative pain control may reduce the hospitalization period and costs of hip fracture treatment. This is especially true for the patients with intertrochanteric fracture.
Authors and Affiliations
Masood Mohseni
Keywords
Related Articles
- EP ID EP229344
- DOI 10.5812/aacc.10021
- Views 50
- Downloads 0
Economic Analysis of Regional Versus General Anesthesia for Hip Fracture Surgery
Background The economic burden of the treatment of hip fracture would be enormous, especially in countries like Iran with an aging population and limited financial resources. The...
Anesthesia Management of Bullous Emphysema in Patient Candidate for Craniotomy
Introduction Many patients with emphysema will develop cystic air spaces in the lung parenchyma known as bullae. Positive pressure ventilation increases the pressure in a bulla an...
Choosing the Best Glasses for Clinical Practice: Evidence- Based Medicine Versus Other Alternative Approaches
No Abstract
Emergency Surgery for Acute Dissection of the Ascending Aorta
Background Aortic dissection is a nonprevalent disease and its late diagnosis can be life-threatening with a high mortality rate. The timely treatment of this disease can increase...
Comparative Efficacy of Bispectral Index Monitoring and Clinical Assessment in The Recovery of Patients Undergoing Open Renal Surgery: A Randomized, Double-Blind Study
Background and Aims Maintaining the sufficient depth of anesthesia with an adequate anesthetic drug dosage in patients undergoing surgery is one of the most significant issues. In...