{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T14:53:20Z","timestamp":1782053600549,"version":"3.54.5"},"reference-count":26,"publisher":"SAGE Publications","issue":"1-2","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is no specific recommendation regarding the type of anaesthesia in hip fracture surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study sought to examine the current local anaesthetic practice (general anaesthesia versus regional anaesthesia (RA)) in hip fracture surgery and to analyse their associations with perioperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A retrospective observational study of hip fracture patients from April to December 2017 was undertaken. Patient characteristics and perioperative outcomes were analysed against the types of anaesthesia using multiple logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and twelve out of 154 patients (72.7%) had a general anaesthesia. Patients from residential care facilities were more likely to receive general anaesthesia (OR\u2009=\u20092.9, 95% CI: 1.1, 7.4; P\u2009=\u20090.03). There was no significant association between type of anaesthesia and specific postoperative outcomes; however, patients with postoperative delirium and hypotension were more likely to have received general anaesthesia [OR\u2009=\u20091.7, 95% CI: 0.68, 4.38; P\u2009=\u20090.25] and [OR\u2009=\u20091.6, 95% CI: 0.67, 4.04; P\u2009=\u20090.27] respectively). Subgroup analysis showed increased length of stay with patients who underwent general anaesthesia (OR\u2009=\u20091.26, 95% CI:1.04, 1.54; P\u2009=\u20090.02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Regional anaesthesia may be considered in patients without contraindications in view of increased risk of postoperative delirium and hypotension, and longer length of stay with general anaesthesia. A larger prospective study is needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589211006020","type":"journal-article","created":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T13:51:04Z","timestamp":1625147464000},"page":"15-23","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A retrospective observational study on the types of anaesthesia in hip fracture surgery"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5200-4415","authenticated-orcid":false,"given":"Siti N Mohd","family":"Nawi","sequence":"first","affiliation":[{"name":"Geriatric Medicine Department, Northern Adelaide Local Health Network, Modbury Hospital, Modbury, Australia"},{"name":"Hospital Universiti Sains Malaysia and School of Medical Sciences,  Universiti Sains Malaysia,  Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Wong","sequence":"additional","affiliation":[{"name":"Geriatric Medicine Department, Northern Adelaide Local Health Network, Modbury Hospital, Modbury, Australia"},{"name":"Orthogeriatric Service, Northern Adelaide Local Health Network, Lyell McEwin Hospital, Elizabeth Vale, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Edwards","sequence":"additional","affiliation":[{"name":"Data, Design and Statistics Service, Adelaide Health Technology Assessment (AHTA), School of Public Health, The University of Adelaide, Adelaide,  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Loh","sequence":"additional","affiliation":[{"name":"Geriatric Medicine Department, Northern Adelaide Local Health Network, Modbury Hospital, Modbury, Australia"},{"name":"Orthogeriatric Service, Northern Adelaide Local Health Network, Lyell McEwin Hospital, Elizabeth Vale, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Maddison","sequence":"additional","affiliation":[{"name":"Geriatric Medicine Department, Northern Adelaide Local Health Network, Modbury Hospital, Modbury, Australia"},{"name":"Orthogeriatric Service, Northern Adelaide Local Health Network, Lyell McEwin Hospital, Elizabeth Vale, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,1]]},"reference":[{"key":"bibr1-17504589211006020","unstructured":"Australian and New Zealand Hip Fracture Registry (ANZHFR) Bi-National Annual Report of Hip Fracture Care Supplementary Report Australian States and Territories 2018 Australian and New Zealand Hip Fracture Registry. Available at: https:\/\/anzhfr.org\/wp-content\/uploads\/2018\/08\/2018-ANZHFR-Annual-Report-SUPPLEMENTARY-FINAL.pdf (2018, accessed 21 March 2021)"},{"key":"bibr2-17504589211006020","unstructured":"Australian and New Zealand Hip Fracture Registry (ANZHFR) 2014 Australian and New Zealand Guideline for Hip Fracture Care: Improving Outcomes in Hip Fracture Management of Adults.\n                      Australian and New Zealand Hip Fracture Registry (ANZHFR) Steering Group"},{"key":"bibr3-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu021"},{"key":"bibr4-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51110.x"},{"key":"bibr5-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15291"},{"key":"bibr6-17504589211006020","volume":"22","author":"Guay J","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"bibr8-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1000991"},{"key":"bibr9-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(95)00381-9"},{"key":"bibr10-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-010-1399-7"},{"key":"bibr11-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-017-2066-5"},{"key":"bibr12-17504589211006020","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.2-12.v1"},{"key":"bibr7-17504589211006020","unstructured":"National Institute for Health and Clinical Excellence (NICE) 2013 Hip Fracture: Evidence Update March  2014. Available at: https:\/\/www.nice.org.uk\/guidance\/cg124\/evidence\/evidence-update-pdf-183078109 (Accessed 21 March 2021)"},{"key":"bibr13-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3182545e7c"},{"key":"bibr14-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.6499"},{"key":"bibr15-17504589211006020","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"issue":"4","key":"bibr16-17504589211006020","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1097\/00000542-200004000-00011","volume":"92","author":"O\u2019Hara MD","year":"2000","journal-title":"Anesthesiology: The Journal of the American Society of Anesthesiologists"},{"key":"bibr17-17504589211006020","first-page":"CD000521","volume":"18","author":"Parker MJ","year":"2004","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"bibr18-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g4022"},{"key":"bibr19-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001035"},{"key":"bibr20-17504589211006020","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2009.0469"},{"key":"bibr21-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex127"},{"key":"bibr22-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14490"},{"key":"bibr23-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.bja.a013468"},{"key":"bibr24-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-017-0380-9"},{"key":"bibr25-17504589211006020","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13415"},{"issue":"11","key":"bibr26-17504589211006020","first-page":"20295","volume":"8","author":"Zuo D","year":"2015","journal-title":"International Journal of Clinical and Experimental Medicine"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589211006020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17504589211006020","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589211006020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:04:08Z","timestamp":1777709048000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17504589211006020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,1]]},"references-count":26,"journal-issue":{"issue":"1-2","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1177\/17504589211006020"],"URL":"https:\/\/doi.org\/10.1177\/17504589211006020","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,1]]}}}