[Spinal anesthesia versus general anesthesia for inguinal hernia repair: propensity score analysis]. / Anesthésie locorégionale versus Anesthésie générale pour la Hernie Inguinale : Analyse par le score de propension.
Tunis Med
; 90(10): 686-91, 2012 Oct.
Article
em Fr
| MEDLINE
| ID: mdl-23096507
ABSTRACT
BACKGROUND:
Administrative database, used previously for control of cost, patient flow and invoicing, offer to researchers a large sample of patients representative of population providing interesting information's in the field of descriptive and analytic epidemiology with less cost.AIM:
To compare spinal to general anesthesia for inguinal hernia repair concerning a population extracted from administrative database after propensity matched analysis.METHODS:
Prospective study concerning 4690 hospitalizations in Department B of General Surgery of Charles Nicolle hospital during a period of 18 months, between June 1st, 2008 and December 31st, 2009. A descriptive analysis followed by a comparison between spinal and general anesthesia according propensity matched analysis were performed. Résultats 595 inguinal hernias were operated on. Mean age was 55±15.We mentioned a male predominance 326 men (84.2%) and 61 women (15.8%). 137 patients had previous medical diseases(35.4%). 47(12.1%) patients were operated on in emergent situation on the other hand 340(87.9%) had elective surgery.264(68.2%) were ASA I, 110(28.4%) ASA II, 13(3.4%) ASA III. Post operative course were uneventful in 96.1% (372) and complicated in 11 patients (2.9%).Four deaths were observed (1%). Comparison before and after propensity matched analysis showed a statistical difference regarding postoperative stay and all hospital stay in favor of spinal anesthesia (p=0.007).CONCLUSION:
Postoperative stay is significantly shorter in the group of spinal anesthesia (p=0.007). A randomized clinical trial comparing spinal anesthesia to general anesthesia is needed.
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Base de dados:
MEDLINE
Assunto principal:
Hérnia Inguinal
/
Anestesia Geral
/
Raquianestesia
Tipo de estudo:
Clinical_trials
/
Observational_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Africa
Idioma:
Fr
Ano de publicação:
2012
Tipo de documento:
Article