Influence of Anaesthesia on Mobilisation following Hip Fracture Surgery: An Observational Study

A Iftikhar; KM Asim; A Victoria

doi:10.1016/j.jotr.2016.05.001

Influence of Anaesthesia on Mobilisation following Hip Fracture Surgery: An Observational Study

A Iftikhar, KM Asim, A Victoria

Research output: Contribution to journal › Article › peer-review

Abstract

BackgroundAnaesthetic technique can influence mortality and morbidity following hip fracture surgery. However, its influence on postoperative mobilisation is not clear. In this study, we evaluated the influence of anaesthetic technique on postoperative mobilisation.MethodsIn this prospective observational study, we included all consecutive patients who underwent surgery for hip fracture between 1 January 2012 and 31 December 2013 at our institution. Any patients who died prior to mobilisation or who could not be followed up after surgery were excluded. Data was collected on demographics, clinical characteristics, anaesthesia technique and surgical factors, and date and time of admission, operation, first mobilisation and discharge.ResultsOf the 1040 patients included in the analysis, 264 received general anaesthesia only (Group GA), 322 received general anaesthesia with regional anaesthesia (Group GARA), and 454 received central neuraxial blockade anaesthesia with or without sedation (Group CNB). There was no significant difference in age (p = 0.56), sex (p = 0.23), number of comorbidities (p = 0.06), residential status (p = 0.18), time to surgery (p = 0.10) and length of hospital stay (p = 0.30) between the three groups. There was a statistically significant difference in ASA grade (p = 0.01), implant type used (p = 0.04), grade of operating surgeon (p = 0.02) and grade of anaesthetist during surgery (p = 0.004) among the three groups. Patients in Group GARA had a median time-to-first mobilisation of 23.8 hours after surgery, compared to 24.1 hours in Group GA and 24.3 hours in Group CNB. This difference was not statistically significant after controlling for confounding factors (p = 0.45).ConclusionOur results show that anaesthetic technique does not influence time-to-first mobilisation after hip fracture surgery.

Original language	English
Pages (from-to)	41-47
Number of pages	0
Journal	Journal of Orthopaedics, Trauma and Rehabilitation
Volume	22
Issue number	1
DOIs	https://doi.org/10.1016/j.jotr.2016.05.001
Publication status	Published - Jun 2017
Externally published	Yes

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10.1016/j.jotr.2016.05.001

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@article{e7e6425ef8954e62ad2edc0b06bea9e0,

title = "Influence of Anaesthesia on Mobilisation following Hip Fracture Surgery: An Observational Study",

abstract = "BackgroundAnaesthetic technique can influence mortality and morbidity following hip fracture surgery. However, its influence on postoperative mobilisation is not clear. In this study, we evaluated the influence of anaesthetic technique on postoperative mobilisation.MethodsIn this prospective observational study, we included all consecutive patients who underwent surgery for hip fracture between 1 January 2012 and 31 December 2013 at our institution. Any patients who died prior to mobilisation or who could not be followed up after surgery were excluded. Data was collected on demographics, clinical characteristics, anaesthesia technique and surgical factors, and date and time of admission, operation, first mobilisation and discharge.ResultsOf the 1040 patients included in the analysis, 264 received general anaesthesia only (Group GA), 322 received general anaesthesia with regional anaesthesia (Group GARA), and 454 received central neuraxial blockade anaesthesia with or without sedation (Group CNB). There was no significant difference in age (p = 0.56), sex (p = 0.23), number of comorbidities (p = 0.06), residential status (p = 0.18), time to surgery (p = 0.10) and length of hospital stay (p = 0.30) between the three groups. There was a statistically significant difference in ASA grade (p = 0.01), implant type used (p = 0.04), grade of operating surgeon (p = 0.02) and grade of anaesthetist during surgery (p = 0.004) among the three groups. Patients in Group GARA had a median time-to-first mobilisation of 23.8 hours after surgery, compared to 24.1 hours in Group GA and 24.3 hours in Group CNB. This difference was not statistically significant after controlling for confounding factors (p = 0.45).ConclusionOur results show that anaesthetic technique does not influence time-to-first mobilisation after hip fracture surgery.",

author = "A Iftikhar and KM Asim and A Victoria",

year = "2017",

month = jun,

doi = "10.1016/j.jotr.2016.05.001",

language = "English",

volume = "22",

pages = "41--47",

journal = "Journal of Orthopaedics, Trauma and Rehabilitation",

issn = "2210-4917",

publisher = "Elsevier B.V.",

number = "1",

}

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T1 - Influence of Anaesthesia on Mobilisation following Hip Fracture Surgery: An Observational Study

AU - Iftikhar, A

AU - Asim, KM

AU - Victoria, A

PY - 2017/6

Y1 - 2017/6

N2 - BackgroundAnaesthetic technique can influence mortality and morbidity following hip fracture surgery. However, its influence on postoperative mobilisation is not clear. In this study, we evaluated the influence of anaesthetic technique on postoperative mobilisation.MethodsIn this prospective observational study, we included all consecutive patients who underwent surgery for hip fracture between 1 January 2012 and 31 December 2013 at our institution. Any patients who died prior to mobilisation or who could not be followed up after surgery were excluded. Data was collected on demographics, clinical characteristics, anaesthesia technique and surgical factors, and date and time of admission, operation, first mobilisation and discharge.ResultsOf the 1040 patients included in the analysis, 264 received general anaesthesia only (Group GA), 322 received general anaesthesia with regional anaesthesia (Group GARA), and 454 received central neuraxial blockade anaesthesia with or without sedation (Group CNB). There was no significant difference in age (p = 0.56), sex (p = 0.23), number of comorbidities (p = 0.06), residential status (p = 0.18), time to surgery (p = 0.10) and length of hospital stay (p = 0.30) between the three groups. There was a statistically significant difference in ASA grade (p = 0.01), implant type used (p = 0.04), grade of operating surgeon (p = 0.02) and grade of anaesthetist during surgery (p = 0.004) among the three groups. Patients in Group GARA had a median time-to-first mobilisation of 23.8 hours after surgery, compared to 24.1 hours in Group GA and 24.3 hours in Group CNB. This difference was not statistically significant after controlling for confounding factors (p = 0.45).ConclusionOur results show that anaesthetic technique does not influence time-to-first mobilisation after hip fracture surgery.

AB - BackgroundAnaesthetic technique can influence mortality and morbidity following hip fracture surgery. However, its influence on postoperative mobilisation is not clear. In this study, we evaluated the influence of anaesthetic technique on postoperative mobilisation.MethodsIn this prospective observational study, we included all consecutive patients who underwent surgery for hip fracture between 1 January 2012 and 31 December 2013 at our institution. Any patients who died prior to mobilisation or who could not be followed up after surgery were excluded. Data was collected on demographics, clinical characteristics, anaesthesia technique and surgical factors, and date and time of admission, operation, first mobilisation and discharge.ResultsOf the 1040 patients included in the analysis, 264 received general anaesthesia only (Group GA), 322 received general anaesthesia with regional anaesthesia (Group GARA), and 454 received central neuraxial blockade anaesthesia with or without sedation (Group CNB). There was no significant difference in age (p = 0.56), sex (p = 0.23), number of comorbidities (p = 0.06), residential status (p = 0.18), time to surgery (p = 0.10) and length of hospital stay (p = 0.30) between the three groups. There was a statistically significant difference in ASA grade (p = 0.01), implant type used (p = 0.04), grade of operating surgeon (p = 0.02) and grade of anaesthetist during surgery (p = 0.004) among the three groups. Patients in Group GARA had a median time-to-first mobilisation of 23.8 hours after surgery, compared to 24.1 hours in Group GA and 24.3 hours in Group CNB. This difference was not statistically significant after controlling for confounding factors (p = 0.45).ConclusionOur results show that anaesthetic technique does not influence time-to-first mobilisation after hip fracture surgery.

U2 - 10.1016/j.jotr.2016.05.001

DO - 10.1016/j.jotr.2016.05.001

M3 - Article

SN - 2210-4917

VL - 22

SP - 41

EP - 47

JO - Journal of Orthopaedics, Trauma and Rehabilitation

JF - Journal of Orthopaedics, Trauma and Rehabilitation

IS - 1

ER -

Influence of Anaesthesia on Mobilisation following Hip Fracture Surgery: An Observational Study

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