Journal of clinical anesthesia · 2020
A National Registry Analysis of the Association of Perioperative Regional Anesthesia with hospital length of stay following open reduction and internal fixation of the ankle.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Alexander Brenton, Said Engy T, Gabriel Rodney A
Аннотация
STUDY OBJECTIVES: To evaluate if using regional anesthesia for post-operative pain control for patients who underwent ankle ORIF is associated with a decrease in length of stay.
DESIGN: Multicenter retrospective cohort study.
SETTING: Inpatient perioperative.
PATIENTS: 12,468 inpatients (2007 to 2016) who received ankle ORIF with and without regional anesthesia for pain control.
INTERVENTIONS: Regional Anesthesia for postoperative pain control.
MEASUREMENTS: Hospital length of stay along with multiple covariates.
MAIN RESULTS: The median [quartiles] hospital length of stay of the non-regional anesthesia and regional anesthesia cohorts were 1 day [0, 2 days] and 0 days [0, 1 day], respectively (p < 0.0001). On multivariable Cox regression analysis, the use of regional anesthesia was associated with decreased time to hospital discharge (HR 1.09, 95% CI 1.03-1.14, p = 0.002). Using 1:2 propensity score matching, the median [quartiles] hospital length of stay between the non-regional anesthesia and regional anesthesia matched cohorts were 0 days [0, 1 day] (range = 0-56 days) and 0 day [0, 1 day] (range = 0-33 days), respectively (p = 0.013).
CONCLUSION: The use of regional anesthesia for post-operative pain control was associated with a decreased length of stay for patients undergoing ankle ORIF.
DESIGN: Multicenter retrospective cohort study.
SETTING: Inpatient perioperative.
PATIENTS: 12,468 inpatients (2007 to 2016) who received ankle ORIF with and without regional anesthesia for pain control.
INTERVENTIONS: Regional Anesthesia for postoperative pain control.
MEASUREMENTS: Hospital length of stay along with multiple covariates.
MAIN RESULTS: The median [quartiles] hospital length of stay of the non-regional anesthesia and regional anesthesia cohorts were 1 day [0, 2 days] and 0 days [0, 1 day], respectively (p < 0.0001). On multivariable Cox regression analysis, the use of regional anesthesia was associated with decreased time to hospital discharge (HR 1.09, 95% CI 1.03-1.14, p = 0.002). Using 1:2 propensity score matching, the median [quartiles] hospital length of stay between the non-regional anesthesia and regional anesthesia matched cohorts were 0 days [0, 1 day] (range = 0-56 days) and 0 day [0, 1 day] (range = 0-33 days), respectively (p = 0.013).
CONCLUSION: The use of regional anesthesia for post-operative pain control was associated with a decreased length of stay for patients undergoing ankle ORIF.