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Intervention Review

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Anaesthesia for hip fracture surgery in adults

  1. Martyn J Parker1,*,
  2. Helen HG Handoll2,
  3. Richard Griffiths3

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 18 OCT 2004

Assessed as up-to-date: 10 JUN 2004

DOI: 10.1002/14651858.CD000521.pub2


How to Cite

Parker MJ, Handoll HHG, Griffiths R. Anaesthesia for hip fracture surgery in adults. Cochrane Database of Systematic Reviews 2004, Issue 4. Art. No.: CD000521. DOI: 10.1002/14651858.CD000521.pub2.

Author Information

  1. 1

    Peterborough and Stamford Hospitals NHS Foundation Trust, Department of Orthopaedics, Peterborough, Cambridgeshire, UK

  2. 2

    Teesside University, Health and Social Care Institute, Middlesbrough, Tees Valley, UK

  3. 3

    Peterborough and Stamford Hospitals NHS Foundation Trust, Department of Anaesthesia, Peterborough, Cambridgeshire, UK

*Martyn J Parker, Department of Orthopaedics, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough City Hospital, CBU PO Box 211, Bretton Gate, Peterborough, Cambridgeshire, PE3 9GZ, UK. martyn.parker@pbh-tr.nhs.uk.

Publication History

  1. Publication Status: Unchanged
  2. Published Online: 18 OCT 2004

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This is not the most recent version of the article. View current version (22 FEB 2016)

[Analysis 1.1]
Analysis 1.1. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 1 Mortality - 1 month.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 2 Mortality - 1 month (random effects model).
[Analysis 1.3]
Analysis 1.3. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 3 Mortality - 3 months.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 4 Mortality - 6 months.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 5 Mortality - 12 months.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 6 Mortality - early and up to 1 month.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 7 Length of operation (mins).
[Analysis 1.8]
Analysis 1.8. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 8 Operative hypotension.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 9 Operative hypotension (random effects model).
[Analysis 1.10]
Analysis 1.10. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 10 Operative blood loss (ml).
[Analysis 1.11]
Analysis 1.11. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 11 Patients receiving blood transfusion.
[Analysis 1.12]
Analysis 1.12. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 12 Transfusion requirements (ml).
[Analysis 1.13]
Analysis 1.13. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 13 Postoperative hypoxia.
[Analysis 1.14]
Analysis 1.14. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 14 Length of hospital stay.
[Analysis 1.15]
Analysis 1.15. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 15 Pneumonia.
[Analysis 1.16]
Analysis 1.16. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 16 Myocardial infarction.
[Analysis 1.17]
Analysis 1.17. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 17 Cerebrovascular accident.
[Analysis 1.18]
Analysis 1.18. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 18 Congestive cardiac failure.
[Analysis 1.19]
Analysis 1.19. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 19 Renal failure.
[Analysis 1.20]
Analysis 1.20. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 20 Acute confusional state.
[Analysis 1.21]
Analysis 1.21. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 21 Urine retention.
[Analysis 1.22]
Analysis 1.22. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 22 Vomiting.
[Analysis 1.23]
Analysis 1.23. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 23 Deep vein thrombosis.
[Analysis 1.24]
Analysis 1.24. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 24 Pulmonary embolism (Peto odds ratio plot - showing heterogeneity).
[Analysis 1.25]
Analysis 1.25. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 25 Pulmonary embolism (random effects model).
[Analysis 1.26]
Analysis 1.26. Comparison 1 Regional (spinal or epidural) versus general anaesthesia, Outcome 26 Pulmonary embolism (fatal and non-fatal).
[Analysis 2.1]
Analysis 2.1. Comparison 2 Spinal and 'light' general anaesthetic versus general anaesthetic, Outcome 1 Mortality - 1 month.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Spinal and 'light' general anaesthetic versus general anaesthetic, Outcome 2 Length of operation.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Spinal and 'light' general anaesthetic versus general anaesthetic, Outcome 3 Pneumonia.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Spinal and 'light' general anaesthetic versus general anaesthetic, Outcome 4 Confusional state.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Spinal and 'light' general anaesthetic versus general anaesthetic, Outcome 5 Deep vein thrombosis.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Regional (spinal or epidural) versus lumbar plexus nerve blocks, Outcome 1 Incomplete or unsatisfactory analgesia.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Regional (spinal or epidural) versus lumbar plexus nerve blocks, Outcome 2 Operative hypotension.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Regional (spinal or epidural) versus lumbar plexus nerve blocks, Outcome 3 Mean fall in arterial blood pressure (mmHg).
[Analysis 3.4]
Analysis 3.4. Comparison 3 Regional (spinal or epidural) versus lumbar plexus nerve blocks, Outcome 4 Mean dose of ephedrine used (mg).
[Analysis 3.5]
Analysis 3.5. Comparison 3 Regional (spinal or epidural) versus lumbar plexus nerve blocks, Outcome 5 Adverse effects.
[Analysis 3.6]
Analysis 3.6. Comparison 3 Regional (spinal or epidural) versus lumbar plexus nerve blocks, Outcome 6 Postoperative confusion.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Intravenous ketamine versus general anaesthesia, Outcome 1 Mortality - during hospital stay.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Intravenous ketamine versus general anaesthesia, Outcome 2 Myocardial infarction.
[Analysis 4.3]
Analysis 4.3. Comparison 4 Intravenous ketamine versus general anaesthesia, Outcome 3 Congestive cardiac failure.
[Analysis 4.4]
Analysis 4.4. Comparison 4 Intravenous ketamine versus general anaesthesia, Outcome 4 Pulmonary embolism.
[Analysis 4.5]
Analysis 4.5. Comparison 4 Intravenous ketamine versus general anaesthesia, Outcome 5 Length of hospital stay (discharge home).