Ding David Y, Mahure Siddharth A, Mollon Brent, Shamah Steven D, Zuckerman Joseph D, Kwon Young W
NYU Hospital for Joint Diseases, Department of Orthopaedic Surgery, 301 East 17th Street, New York, NY 10003, United States.
J Orthop. 2017 Jul 21;14(4):417-424. doi: 10.1016/j.jor.2017.07.002. eCollection 2017 Dec.
Intraoperative anesthetic typically consists of either general anesthesia (GA) or isolated regional anesthesia (RA).
A retrospective propensity-matched cohort analysis on patients undergoing TSA was performed to determine differences between GA and RA in regard to patient population, complications, LOS and hospital readmission.
4158 patients underwent TSA with GA or isolated RA. Propensity-matching resulted in 912 patients in each cohort. RA had lower overall in-hospital complications and greater homebound discharge disposition with lower 90-day readmission rates than GA.
After TSA, isolated RA was associated with lower in-hospital complications, readmission rates and odds of hospital readmission than GA.
术中麻醉通常包括全身麻醉（GA）或单纯区域麻醉（RA）。
对接受全肩关节置换术（TSA）的患者进行回顾性倾向匹配队列分析，以确定GA和RA在患者人群、并发症、住院时间（LOS）和医院再入院方面的差异。
4158例患者接受了GA或单纯RA的TSA。倾向匹配后，每个队列有912例患者。与GA相比，RA的总体院内并发症更低，居家出院倾向更高，90天再入院率更低。
TSA后，单纯RA与GA相比，院内并发症、再入院率及医院再入院几率更低。
