Newly-published studies by Senior Fellows Mark Neuman, Jeffrey Silber, Rachel Werner, and colleagues have direct implications for the management of hip fractures, which afflict more than 300,000 older adults each year.
The first study, published earlier this week in JAMA Internal Medicine, focuses on outcomes in a particularly vulnerable and understudied population: long-term residents of nursing homes, who are at twice the risk of sustaining a hip fracture as community dwellers.
The second study, published yesterday in JAMA, compares surgical outcomes in hip fracture patients receiving general anesthesia vs. regional (i.e., spinal or epidural) anesthesia. This is an extremely well-done retrospective cohort analysis of more than 56,000 hip fracture patients over 50 in New York State hospitals over a seven-year period. It features an innovative “near-far” instrumental variable match that paired patients who lived at different distances from hospitals that specialized in regional or general anesthesia.