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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.

Abstract：

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.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Alexander B,Said ET,Gabriel RA

doi

10.1016/j.jclinane.2020.110008

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

110008

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(20)30928-4

journal_volume

67

pub_type

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