Over the last decades, intense controversy has persisted among clinicians over the potential impact of the type of anesthesia on perioperative outcomes. The patient population at the forefront of this debate has included hip and knee arthroplasty (total hip arthroplasty [THA] and total knee arthroplasty [TKA]) recipients, both because their procedures are highly suitable for neuraxial techniques and because of the magnitude of the overall impact this growing group of patients has on medical and economic parts of the healthcare system. A group collected the data from approximately 400 hospitals of the patients who underwent primary hip or knee arthroplasty and subgrouped by anesthesia technique: general, neuraxial, and combined neuraxial–general.
Demographics, postoperative complications, 30-day mortality, the length of stay, and patient cost were analyzed and compared. Multivariable…