Anaesthesia practice, quality indices including all‐cause 30‐day mortality associate to wrist fracture repositioning and surgery in Sweden: A perioperative register‐based study 2018–2021

• Published in: Acta anaesthesiologica Scandinavica 2024-03, Vol.68 (3), p.402-409
• Main Authors: Sellbrant, Iren, Nellgård, Bengt, Karlsson, Jon, Albert, Johanna, Jakobsson, Jan G.
• Format: Article
• Language: English
• Subjects: Adult; Age; Aged; anaesthesia; Anestesi och intensivvård; Anesthesia; Anesthesia, General; Anesthesiology and Intensive Care; Anesthetics; Basic Medicine; day surgery; Female; Fractures; general anaesthesia; General anesthesia; Humans; Hypothermia; Male; Medicin och hälsovetenskap; Medicinska grundvetenskaper; Middle Aged; Mortality; Pain; perioperative mortality; perioperative time events; PONV; Postoperative Nausea and Vomiting; quality index; regional anaesthesia; Regional anesthesia; Surgery; Sweden - epidemiology; Urinary Retention; Vomiting; Wrist; wrist fracture; Wrist Fractures
• ISSN: 0001-5172; 1399-6576; 1399-6576
• DOI: 10.1111/aas.14358

Background 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‐day mortality associated with wrist fracture in Sweden in recent years. Aim The aim of the present register‐based study was to investigate the anaesthesia techniques used and quality indices including 30‐day mortality associated with wrist fracture surgery in Sweden during the period 2018–2021. Materials and Methods All fracture repositions, and surgical interventions related to wrist fracture requiring anaesthesia in patients aged >18 years 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‐effects during recovery room stay and all‐cause 30‐day mortality was collected. Results The data set included 25,147 procedures split into 14,796 females and 10,252 males (missing information n = 99) with a mean age of 52.9 ± 18.7 years and a significant age difference between females and males, 60.3 ± 15.4 and 42.2 ± 17.7 years, respectively. Mean age and ASA class increased during the study period (2018–2021), from 52.8 ± 18.6 to 54.0 ± 18.4 and ASA class 3–5 from 8.1% to 9.4% (p