Comparison of Patient Satisfaction between Brachial Plexus Block (Axillary Approach) and General Anesthesia for Surgical Treatment of Distal Radius Fractures: A Historical Cohort Study.

• 資料種別: 博士論文
• タイトル: Comparison of Patient Satisfaction between Brachial Plexus Block (Axillary Approach) and General Anesthesia for Surgical Treatment of Distal Radius Fractures: A Historical Cohort Study.
• 著者・編者: Matsumura, Noriaki; Inoue, Satoki; Iwagami, Hidenobu; Kondo, Yumiko; Inoue, Kazuya; Tanaka, Yasuhito; Okuda, Akihiro
• 著者標目: Matsumura, Noriaki; Inoue, Satoki; Iwagami, Hidenobu; Kondo, Yumiko; Inoue, Kazuya; Tanaka, Yasuhito; Okuda, Akihiro
• 出版事項: Scientific Research Publishing
• 出版年月日等: 2020-12
• 出版年（W3CDTF）: 2020-12
• 並列タイトル等: 橈骨遠位端骨折の外科的治療に対する、腕神経叢ブロック（腋窩アプローチ）と全身麻酔との間の患者満足度の比較
• タイトル（掲載誌）: Open Journal of Anesthesiology
• 巻号年月日等（掲載誌）: 10 12
• 掲載巻: 10
• 掲載号: 12
• 掲載ページ: 422-434
• ISSN（掲載誌）: ISSN : 2164-5531
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2021-06-25
• 報告番号: 乙第1511号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Ultrasound-Guided Brachial Plexus Block (Axillary Approach); General Anesthesia; Patient Satisfaction; Distal Radius Fracture
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: Distal radius fracture surgery is performed under general (GA) or regional anesthesia with brachial plexus block (NB). Whether anesthesia type affects patient outcomes is unclear. This study retrospectively compared patient satisfaction between GA and NB after surgery. Methods: This was a historical cohort study of 80 (34 GA and 46 NB) patients who underwent volar plate fixation of distal radius fractures. Propensity score analysis was used to generate a set of matched cases (NB) and controls (GA), yielding 14 matched patient-pairs. The simplified patient satisfaction scale was compared for primary outcomes. Secondary outcomes were anesthesia and surgery duration, hospital stay length, adverse events, postoperative analgesic requirement, and wrist range of motion (ROM) 2 weeks and 3 months postoperatively. Results: After propensity score matching, patients in almost all cases in both groups were “Satisfied” (effect size: 0.1, p = 0.572), indicating little significant difference. Significant differences in adverse events and postoperative analgesic use observed before matching disappeared after matching. Anesthesia duration and hospital stay length were significantly shorter in the NB group (effect size: -1.27 and -0.77, p = 0.00074 and p = 0.0388, respectively), as was surgery duration (effect size: -0.84, p = 0.0122) after matching. Similar to before matching, wrist ROM significantly improved in the NB group (effect size: 1.11, p = 0.0279) in the early postoperative period, but the difference disappeared at 3 months postoperatively. Conclusions: Patient satisfaction between distal radius fracture surgery under GA and NB was similar. Nerve block could help shorten hospital stay length and surgery duration and improve postoperative functional recovery.; 博士（医学）・乙第1511号・令和3年6月25日; Copyright © 2020 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/; identifier:Open Journal of Anesthesiology Vol.10 No.12 p.422-434 (2020 Dec); identifier:21645531; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3944; identifier:Open Journal of Anesthesiology, 10(12): 422-434
• 一次資料へのリンクURL: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3944/1/01%e4%b9%991511%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3944/2/02%e4%b9%991511%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3944/3/03%e4%b9%991511%e6%9c%ac%e6%96%87.pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.4236/ojanes.2020.1012037
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU