Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur

Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study McIsaac D et al. Anesthesiology 3 2018, Vol.128, 480-491 A population-based cohort study using linked administrative data in Ontario, Canada. 107,317 hip fracture patients > 65 yr of age from 2002 to 2014. Hip fracture surgery patients at hospitals that use more than 20 to 25% neuraxial anesthesia have improved survival independent of patient-level anesthesia type and other confounders. The underlying causal mechanism for this association requires a prospective study to guide improvements in perioperative care and outcomes of hip fracture patients. For original paper click here: http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2657156