Risk of death lower with regional anaesthesia for hip surgery

US researchers examined more than 18,000 hospital records of patients having hip fracture surgery.

In-hospital mortality occurred in 435 (2.4%). The researchers found a 29% lower risk of death and a 24% lower risk of pulmonary complications with regional compared to general anaesthesia.

The benefits of regional anaesthesia were clear among patients with intertrochanteric fractures but no similar associations were found between anaesthesia type and outcomes among patients with femoral neck fracture.