MONDAY, Feb. 11, 2019 — Although more women have hip fracture surgery, they are less likely to receive perioperative geriatric care and anesthesia consultations, according to a study published online Feb. 11 in CMAJ, the journal of the Canadian Medical Association.
Natalie Cho, M.D., from the University of Ottawa in Canada, and colleagues identified all Ontario residents aged 66 years and older who had hip fracture surgery between 2014 and 2016. The authors examined the adjusted correlations between female sex and geriatric care, anesthesia consultations, regional analgesia, and neuraxial anesthesia.
Of the 22,661 patients undergoing hip fracture surgery, 71.3 percent were women. The researchers found that women were less likely to receive perioperative geriatric care and anesthesia consultations (adjusted odds ratios [aORs], 0.80 [95 percent confidence interval [CI], 0.72 to 0.88] and 0.89 [95 percent CI, 0.80 to 0.98], respectively); however, women were more likely to have timely surgery (aOR, 1.26; 95 percent CI, 1.17 to 1.36). There was no difference between the sexes in terms of receipt of neuraxial anesthesia and regional analgesia (aORs, 0.98 [95 percent CI, 0.93 to 1.04] and 1.00 [95 percent CI, 0.94 to 1.07], respectively).
“This new knowledge could be used to inform knowledge-translation strategies (such as refinement and targeting of recommendations) to improve patient- and system-level outcomes for older people with hip fracture,” the authors write.
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Posted: February 2019