{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T20:28:54Z","timestamp":1754598534095,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Wrist fracture is one of most common fractures frequently requiring surgical anaesthesia. There is limited information related to the anaesthetic practice and quality including 30\u2010day mortality associated with wrist fracture in Sweden in recent years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the present register\u2010based study was to investigate the anaesthesia techniques used and quality indices including 30\u2010day mortality associated with wrist fracture surgery in Sweden during the period 2018\u20132021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>All fracture repositions, and surgical interventions related to wrist fracture requiring anaesthesia in patients aged &gt;18\u2009years registered in the Swedish Perioperative Register (SPOR) between 2018 and 2021 were included in the analysis. Information on age, ASA class, anaesthesia technique, severe operative events, most reported side\u2010effects during recovery room stay and all\u2010cause 30\u2010day mortality was collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The data set included 25,147 procedures split into 14,796 females and 10,252 males (missing information <jats:italic>n<\/jats:italic>\u2009=\u200999) with a mean age of 52.9\u2009\u00b1\u200918.7\u2009years and a significant age difference between females and males, 60.3\u2009\u00b1\u200915.4 and 42.2\u2009\u00b1\u200917.7\u2009years, respectively. Mean age and ASA class increased during the study period (2018\u20132021), from 52.8\u2009\u00b1\u200918.6 to 54.0\u2009\u00b1\u200918.4 and ASA class 3\u20135 from 8.1% to 9.4% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001 and <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.041, respectively). General anaesthesia (GA), GA combined with regional anaesthesia (RA), RA with or without sedation and sedation only was used in 41%, 13%, 40% and 6% of procedures, respectively, with minor changes over the study period. Pain at arrival in the recovery room (RR), (3.4%), severe pain during RR stay (2.1%), hypothermia (1.4%), postoperative nausea and vomiting (PONV) (1.2%) and urinary retention (0.5%) were the most reported side\u2010effects during the RR stay. (RA) was associated with significantly lower occurrence of pain and PONV, and shorter RR stay, compared with GA (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). The all\u2010cause 30\u2010day mortality was low (19 of 25,147 (0.08%)) with no differences over the period studied or anaesthetic technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>General anaesthesia or general anaesthesia combined with regional anaesthesia are the most used anaesthetic techniques for wrist fracture procedures in Sweden. Recovery room pain, PONV, hypothermia and urinary retention is reported in overall low frequencies, with no change over the period studied, but in lower frequencies for regional anaesthesia. All\u2010cause 30\u2010day mortality was low; 0.08% with no change over time or between anaesthetic techniques. Thus, the present quality review based on SPOR data supports high quality of perioperative anaesthesia care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.14358","type":"journal-article","created":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T23:59:43Z","timestamp":1699833583000},"page":"402-409","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Anaesthesia practice, quality indices including all\u2010cause 30\u2010day mortality associate to wrist fracture repositioning and surgery in Sweden: A perioperative register\u2010based study 2018\u20132021"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1964-2452","authenticated-orcid":false,"given":"Iren","family":"Sellbrant","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Sahlgrenska University Hospital and Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6791-8893","authenticated-orcid":false,"given":"Bengt","family":"Nellg\u00e5rd","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Sahlgrenska University Hospital and Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Karlsson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Sahlgrenska University Hospital and Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Albert","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Department for Clinical Sciences Karolinska Institutet, Danderyd Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5829-1803","authenticated-orcid":false,"given":"Jan G.","family":"Jakobsson","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Department for Clinical Sciences Karolinska Institutet, Danderyd Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.13004.1"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12730"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000784"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102638\u20104"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.14174"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.14192"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.15363.2"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010020\u20103097\u20108"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.5672"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2017.12.001"},{"key":"e_1_2_12_12_1","unstructured":"https:\/\/sdb.socialstyrelsen.se\/if_ope\/val.aspx"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.08.041"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447221141482"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00984"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-021-01499-z"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.10.035"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002098"},{"key":"e_1_2_12_19_1","unstructured":"registercentrum.blob.core.windows.net\/sfr\/r\/-rsrapport-SFR-2022-By_ps8PU3.pdf"},{"key":"e_1_2_12_20_1","article-title":"Mammorna blir allt \u00e4ldre men mortaliteten \u00e4r betryggande l\u00e5g [Age, ASA\u2010physical status all\u2010cause 30\u2010day mortality among caesarean section in Sweden 2016 to 2022]","volume":"120","author":"Norlin H","year":"2023","journal-title":"Lakartidningen"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aas.14358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T06:42:17Z","timestamp":1708670537000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aas.14358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,12]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/aas.14358"],"URL":"https:\/\/doi.org\/10.1111\/aas.14358","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"type":"print","value":"0001-5172"},{"type":"electronic","value":"1399-6576"}],"subject":[],"published":{"date-parts":[[2023,11,12]]},"assertion":[{"value":"2023-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}