ClinicalThere is a statistically and clinically significant reduction in early mortality (up to 1 month) in patients having regional anaesthesia compared to those having general anaesthesia (LOW QUALITY).

There is a statistically significant but not clinically significant improvement in postoperative confusion and reduction in incidence of deep vein thrombosis in patients receiving regional compared to general anaesthesia (LOW QUALITY).

There were no statistically significant differences in length of stay in hospital, vomiting, pneumonia, myocardial infarction and pulmonary embolism (LOW QUALITY).
EconomicOne study found general anaesthesia to be more costly than spinal anaesthesia. This evidence has very serious limitations since it did not evaluate effectiveness and may not have included all important cost differences.

From: 8, Regional (spinal or epidural) versus general anaesthesia

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The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
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