Cochrane · systematic review · CD000521

Anaesthesia for hip fracture surgery in adults

Guay, J, Parker, MJ, Gajendragadkar, PR, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Neuraxial block compared to general anaesthesia for hip fracture repair

Population: Patients with hip fracture repair
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Neuraxial block vs general anaesthesia
RR 0.78 [0.57, 1.06]11 studies · 2152 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Pneumonia
Neuraxial block vs general anaesthesia
RR 0.77 [0.45, 1.31]6 studies · 761 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Myocardial infarction
Neuraxial block vs general anaesthesia
RR 0.89 [0.22, 3.65]4 studies · 559 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Cerebrovascular accident
Neuraxial block vs general anaesthesia
RR 1.48 [0.46, 4.83]6 studies · 729 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Acute confusional state
Neuraxial block vs general anaesthesia
RR 0.85 [0.51, 1.4]6 studies · 624 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Deep vein thrombosis
Neuraxial block vs general anaesthesia
RR 0.57 [0.41, 0.78]2 studies · 116 participantsVery low
Downgraded: risk of bias, imprecision, indirectness, publication bias
Return of patient to their own home
Neuraxial block vs general anaesthesia
RR 0.84 [0.61, 1.16]1 study · 130 participantsVery low
Downgraded: risk of bias, imprecision, indirectness