• J Clin Anesth · Dec 2020

    Multicenter Study

    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.

    • Brenton Alexander, Engy T Said, and Rodney A Gabriel.
    • Department of Anesthesiology, University of California, San Diego, La Jolla, CA, USA. Electronic address: bsalexander@health.ucsd.edu.
    • J Clin Anesth. 2020 Dec 1; 67: 110008.

    Study ObjectivesTo 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.DesignMulticenter retrospective cohort study.SettingInpatient perioperative.Patients12,468 inpatients (2007 to 2016) who received ankle ORIF with and without regional anesthesia for pain control.InterventionsRegional Anesthesia for postoperative pain control.MeasurementsHospital length of stay along with multiple covariates.Main ResultsThe 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).ConclusionThe use of regional anesthesia for post-operative pain control was associated with a decreased length of stay for patients undergoing ankle ORIF.Copyright © 2020 Elsevier Inc. All rights reserved.

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