Spinal versus general anaesthesia and serious complications in older patients undergoing hip fracture surgery in Germany: a multicentre randomised clinical trial

Ana Kowark, Stefanie Schoenen, Rene Schmidt, Haris Zubanovic, Leila Elammari, Axana Engelhardt, Christoph Ilies, Jonas Keuler, Friedrich K Pühringer, Verena May, Christian Minarski, Tobias Malisi, Simon Diepold, Thomas Saller, Daniel Chappell, Simon T Schaefer, Roland Tomasi, Richard K Ellerkmann, Jens-Peter Stahl, Stefan Walther, Barbara Reinartz, Markus H Huppertz-Thyssen, Marcel Poels, Christian Adam, Andreas Hohn, Hans-Peter Reiffen, Volker Gebhardt, Dietrich Henzler, Linda Grüßer, Sebastian Goldmann, Dieter C Wirtz, Stephanie Wied, Mark Coburn, Tanja Bülow, Christina Fitzner, Ulrich C Liener, Kerstin Peters, Christopher Rex, Christine Ruth, Marit Arigliano, Nicola Biltz, Ann-Cathrin Bischof, Melanie I Borrmann, Margit Deschner, Caroline Gräfe, Anne-Marie Just, Patricia Knabe, Aline Maciuga, Carl Neuerburg, Johannes Raps, Clemens Rieder, Alina Winkler, Maike Zacharias, Bernhard Zwissler, Holger Pohl, Mats Hecking, Beate Schröter, Max Lehmann, Anke Hoffmann, Svenja Gindullis, Dennis Pötter, Robert Klein, Nirmeen Fayed, Thomas Wehrmann, Jonas Haller, Pauline Buchbinder, Petya Perova, Katharina Rathke, Silke Siewert, Verena Coccejus, Angela Czerwinski, Frank Wappler, Stefanie Wehmeier, Ingo Schwartges, Matthias Nossek, Beatrice Wirth, Julia Berbecker, Tim Koke, Vera Wittenberg, Jan Schönewolf, Michael Nagel, Britta Graupner, Guido Nuding, Heiko Benthin, Claudia Stich, Benjamin Schollmaier, Kilian Sturm, Sebastian Cleophas, Jörg Ahrens, Marc Schmittner, Adina Bathel, Danny Nobst, Martin Ertmer, Niels Ocken, Yasmin Hahnke, Jonas Burke, Klara Eichholz, David Boes, Rolf Rossaint, Julia Van Weasberghe, Julia Liebens, Pascal Kowark, Claudia Neumann, Marie-Louise Fingerhut, Maria Wittmann, Achilles Delis, Marcus Thudium, Andrea Kunsorg, Margret F Külken, Elke Falk, Claudia D Spies, Peter Kienbaum, Maximilian Schaefer, Jonas Hinterberg, Tanja Sulot, Cynthia Olotu, Rita Laufenberg-Feldmann, Marion Ferner, René Rissel, Peter Kranke, Eva-Maria Kranke, Daniel Röder, Philipp Helmer, Sabine Friedrich, Antonia Helf, Tobias Schlesinger, Patrick Meybohm, Pascal Knuefermann, Michael Dück, Jens Soukup, Richard Wetzold, Stefan U Weber, Ulrike Schraml, Michael Knevels, Malek Bajbouj, Richard Dodel, Raphael Koch, Thomas Hachenberg, Carla Nau, Mark D Neuman, Robert Sanders, Cornelius Bollheimer, Frank Hildebrand, Nadine Krüger, Christina Grohe, Jan Wienströer

Open source

DOI
10.1016/j.lanhl.2026.100891
Published
2026-08
Container
The Lancet Healthy Longevity
Publisher
Elsevier BV
Open access
unknown

Credibility signals

uncertain Score 64/100 under policy 1.0.0. This is a metadata assessment, not a judgment of the paper's conclusions.

Show all credibility signals

Cite this work

BibTeX

@article{allodium:10.1016/j.lanhl.2026.100891,
  title = {Spinal versus general anaesthesia and serious complications in older patients undergoing hip fracture surgery in Germany: a multicentre randomised clinical trial},
  author = {Ana Kowark and Stefanie Schoenen and Rene Schmidt and Haris Zubanovic and Leila Elammari and Axana Engelhardt and Christoph Ilies and Jonas Keuler and Friedrich K Pühringer and Verena May and Christian Minarski and Tobias Malisi and Simon Diepold and Thomas Saller and Daniel Chappell and Simon T Schaefer and Roland Tomasi and Richard K Ellerkmann and Jens-Peter Stahl and Stefan Walther and Barbara Reinartz and Markus H Huppertz-Thyssen and Marcel Poels and Christian Adam and Andreas Hohn and Hans-Peter Reiffen and Volker Gebhardt and Dietrich Henzler and Linda Grüßer and Sebastian Goldmann and Dieter C Wirtz and Stephanie Wied and Mark Coburn and Tanja Bülow and Christina Fitzner and Ulrich C Liener and Kerstin Peters and Christopher Rex and Christine Ruth and Marit Arigliano and Nicola Biltz and Ann-Cathrin Bischof and Melanie I Borrmann and Margit Deschner and Caroline Gräfe and Anne-Marie Just and Patricia Knabe and Aline Maciuga and Carl Neuerburg and Johannes Raps and Clemens Rieder and Alina Winkler and Maike Zacharias and Bernhard Zwissler and Holger Pohl and Mats Hecking and Beate Schröter and Max Lehmann and Anke Hoffmann and Svenja Gindullis and Dennis Pötter and Robert Klein and Nirmeen Fayed and Thomas Wehrmann and Jonas Haller and Pauline Buchbinder and Petya Perova and Katharina Rathke and Silke Siewert and Verena Coccejus and Angela Czerwinski and Frank Wappler and Stefanie Wehmeier and Ingo Schwartges and Matthias Nossek and Beatrice Wirth and Julia Berbecker and Tim Koke and Vera Wittenberg and Jan Schönewolf and Michael Nagel and Britta Graupner and Guido Nuding and Heiko Benthin and Claudia Stich and Benjamin Schollmaier and Kilian Sturm and Sebastian Cleophas and Jörg Ahrens and Marc Schmittner and Adina Bathel and Danny Nobst and Martin Ertmer and Niels Ocken and Yasmin Hahnke and Jonas Burke and Klara Eichholz and David Boes and Rolf Rossaint and Julia Van Weasberghe and Julia Liebens and Pascal Kowark and Claudia Neumann and Marie-Louise Fingerhut and Maria Wittmann and Achilles Delis and Marcus Thudium and Andrea Kunsorg and Margret F Külken and Elke Falk and Claudia D Spies and Peter Kienbaum and Maximilian Schaefer and Jonas Hinterberg and Tanja Sulot and Cynthia Olotu and Rita Laufenberg-Feldmann and Marion Ferner and René Rissel and Peter Kranke and Eva-Maria Kranke and Daniel Röder and Philipp Helmer and Sabine Friedrich and Antonia Helf and Tobias Schlesinger and Patrick Meybohm and Pascal Knuefermann and Michael Dück and Jens Soukup and Richard Wetzold and Stefan U Weber and Ulrike Schraml and Michael Knevels and Malek Bajbouj and Richard Dodel and Raphael Koch and Thomas Hachenberg and Carla Nau and Mark D Neuman and Robert Sanders and Cornelius Bollheimer and Frank Hildebrand and Nadine Krüger and Christina Grohe and Jan Wienströer},
  year = {2026},
  journal = {The Lancet Healthy Longevity},
  doi = {10.1016/j.lanhl.2026.100891},
  url = {https://doi.org/10.1016/j.lanhl.2026.100891}
}

RIS

TY  - JOUR
TI  - Spinal versus general anaesthesia and serious complications in older patients undergoing hip fracture surgery in Germany: a multicentre randomised clinical trial
AU  - Ana Kowark
AU  - Stefanie Schoenen
AU  - Rene Schmidt
AU  - Haris Zubanovic
AU  - Leila Elammari
AU  - Axana Engelhardt
AU  - Christoph Ilies
AU  - Jonas Keuler
AU  - Friedrich K Pühringer
AU  - Verena May
AU  - Christian Minarski
AU  - Tobias Malisi
AU  - Simon Diepold
AU  - Thomas Saller
AU  - Daniel Chappell
AU  - Simon T Schaefer
AU  - Roland Tomasi
AU  - Richard K Ellerkmann
AU  - Jens-Peter Stahl
AU  - Stefan Walther
AU  - Barbara Reinartz
AU  - Markus H Huppertz-Thyssen
AU  - Marcel Poels
AU  - Christian Adam
AU  - Andreas Hohn
AU  - Hans-Peter Reiffen
AU  - Volker Gebhardt
AU  - Dietrich Henzler
AU  - Linda Grüßer
AU  - Sebastian Goldmann
AU  - Dieter C Wirtz
AU  - Stephanie Wied
AU  - Mark Coburn
AU  - Tanja Bülow
AU  - Christina Fitzner
AU  - Ulrich C Liener
AU  - Kerstin Peters
AU  - Christopher Rex
AU  - Christine Ruth
AU  - Marit Arigliano
AU  - Nicola Biltz
AU  - Ann-Cathrin Bischof
AU  - Melanie I Borrmann
AU  - Margit Deschner
AU  - Caroline Gräfe
AU  - Anne-Marie Just
AU  - Patricia Knabe
AU  - Aline Maciuga
AU  - Carl Neuerburg
AU  - Johannes Raps
AU  - Clemens Rieder
AU  - Alina Winkler
AU  - Maike Zacharias
AU  - Bernhard Zwissler
AU  - Holger Pohl
AU  - Mats Hecking
AU  - Beate Schröter
AU  - Max Lehmann
AU  - Anke Hoffmann
AU  - Svenja Gindullis
AU  - Dennis Pötter
AU  - Robert Klein
AU  - Nirmeen Fayed
AU  - Thomas Wehrmann
AU  - Jonas Haller
AU  - Pauline Buchbinder
AU  - Petya Perova
AU  - Katharina Rathke
AU  - Silke Siewert
AU  - Verena Coccejus
AU  - Angela Czerwinski
AU  - Frank Wappler
AU  - Stefanie Wehmeier
AU  - Ingo Schwartges
AU  - Matthias Nossek
AU  - Beatrice Wirth
AU  - Julia Berbecker
AU  - Tim Koke
AU  - Vera Wittenberg
AU  - Jan Schönewolf
AU  - Michael Nagel
AU  - Britta Graupner
AU  - Guido Nuding
AU  - Heiko Benthin
AU  - Claudia Stich
AU  - Benjamin Schollmaier
AU  - Kilian Sturm
AU  - Sebastian Cleophas
AU  - Jörg Ahrens
AU  - Marc Schmittner
AU  - Adina Bathel
AU  - Danny Nobst
AU  - Martin Ertmer
AU  - Niels Ocken
AU  - Yasmin Hahnke
AU  - Jonas Burke
AU  - Klara Eichholz
AU  - David Boes
AU  - Rolf Rossaint
AU  - Julia Van Weasberghe
AU  - Julia Liebens
AU  - Pascal Kowark
AU  - Claudia Neumann
AU  - Marie-Louise Fingerhut
AU  - Maria Wittmann
AU  - Achilles Delis
AU  - Marcus Thudium
AU  - Andrea Kunsorg
AU  - Margret F Külken
AU  - Elke Falk
AU  - Claudia D Spies
AU  - Peter Kienbaum
AU  - Maximilian Schaefer
AU  - Jonas Hinterberg
AU  - Tanja Sulot
AU  - Cynthia Olotu
AU  - Rita Laufenberg-Feldmann
AU  - Marion Ferner
AU  - René Rissel
AU  - Peter Kranke
AU  - Eva-Maria Kranke
AU  - Daniel Röder
AU  - Philipp Helmer
AU  - Sabine Friedrich
AU  - Antonia Helf
AU  - Tobias Schlesinger
AU  - Patrick Meybohm
AU  - Pascal Knuefermann
AU  - Michael Dück
AU  - Jens Soukup
AU  - Richard Wetzold
AU  - Stefan U Weber
AU  - Ulrike Schraml
AU  - Michael Knevels
AU  - Malek Bajbouj
AU  - Richard Dodel
AU  - Raphael Koch
AU  - Thomas Hachenberg
AU  - Carla Nau
AU  - Mark D Neuman
AU  - Robert Sanders
AU  - Cornelius Bollheimer
AU  - Frank Hildebrand
AU  - Nadine Krüger
AU  - Christina Grohe
AU  - Jan Wienströer
PY  - 2026
JO  - The Lancet Healthy Longevity
DO  - 10.1016/j.lanhl.2026.100891
UR  - https://doi.org/10.1016/j.lanhl.2026.100891
ER  - 

APA

Kowark, A., Schoenen, S., Schmidt, R., Zubanovic, H., Elammari, L., Engelhardt, A., Ilies, C., Keuler, J., Pühringer, F. K., May, V., Minarski, C., Malisi, T., Diepold, S., Saller, T., Chappell, D., Schaefer, S. T., Tomasi, R., Ellerkmann, R. K., Stahl, J., Walther, S., Reinartz, B., Huppertz-Thyssen, M. H., Poels, M., Adam, C., Hohn, A., Reiffen, H., Gebhardt, V., Henzler, D., Grüßer, L., Goldmann, S., Wirtz, D. C., Wied, S., Coburn, M., Bülow, T., Fitzner, C., Liener, U. C., Peters, K., Rex, C., Ruth, C., Arigliano, M., Biltz, N., Bischof, A., Borrmann, M. I., Deschner, M., Gräfe, C., Just, A., Knabe, P., Maciuga, A., Neuerburg, C., Raps, J., Rieder, C., Winkler, A., Zacharias, M., Zwissler, B., Pohl, H., Hecking, M., Schröter, B., Lehmann, M., Hoffmann, A., Gindullis, S., Pötter, D., Klein, R., Fayed, N., Wehrmann, T., Haller, J., Buchbinder, P., Perova, P., Rathke, K., Siewert, S., Coccejus, V., Czerwinski, A., Wappler, F., Wehmeier, S., Schwartges, I., Nossek, M., Wirth, B., Berbecker, J., Koke, T., Wittenberg, V., Schönewolf, J., Nagel, M., Graupner, B., Nuding, G., Benthin, H., Stich, C., Schollmaier, B., Sturm, K., Cleophas, S., Ahrens, J., Schmittner, M., Bathel, A., Nobst, D., Ertmer, M., Ocken, N., Hahnke, Y., Burke, J., Eichholz, K., Boes, D., Rossaint, R., Weasberghe, J. V., Liebens, J., Kowark, P., Neumann, C., Fingerhut, M., Wittmann, M., Delis, A., Thudium, M., Kunsorg, A., Külken, M. F., Falk, E., Spies, C. D., Kienbaum, P., Schaefer, M., Hinterberg, J., Sulot, T., Olotu, C., Laufenberg-Feldmann, R., Ferner, M., Rissel, R., Kranke, P., Kranke, E., Röder, D., Helmer, P., Friedrich, S., Helf, A., Schlesinger, T., Meybohm, P., Knuefermann, P., Dück, M., Soukup, J., Wetzold, R., Weber, S. U., Schraml, U., Knevels, M., Bajbouj, M., Dodel, R., Koch, R., Hachenberg, T., Nau, C., Neuman, M. D., Sanders, R., Bollheimer, C., Hildebrand, F., Krüger, N., Grohe, C., & Wienströer, J. (2026). Spinal versus general anaesthesia and serious complications in older patients undergoing hip fracture surgery in Germany: a multicentre randomised clinical trial. The Lancet Healthy Longevity. https://doi.org/10.1016/j.lanhl.2026.100891

Source records