Hip Fracture Mortality: Is It Affected by Anesthesia Techniques?
We hypothesized that combined peripheral nerve block (CPNB) technique might reduce mortality in hip fracture patients with the advantage of preserved cardiovascular stability. We retrospectively analyzed 257 hip fracture patients for mortality rates and affecting factors according to general anesthe...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/708754 |
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| author | Saffet Karaca Egemen Ayhan Hayrettin Kesmezacar Omer Uysal |
| author_facet | Saffet Karaca Egemen Ayhan Hayrettin Kesmezacar Omer Uysal |
| author_sort | Saffet Karaca |
| collection | DOAJ |
| description | We hypothesized that combined peripheral nerve block (CPNB) technique might reduce mortality in hip fracture patients with the advantage of preserved cardiovascular stability. We retrospectively analyzed 257 hip fracture patients for mortality rates and affecting factors according to general anesthesia (GA), neuraxial block (NB), and CPNB techniques. Patients’ gender, age at admission, trauma date, ASA status, delay in surgery, followup period, and Barthel Activities of Daily Living Index were determined. There were no differences between three anesthesia groups regarding to sex, followup, delay in surgery, and Barthel score. NB patients was significantly younger and CPNB patients’ ASA status were significantly worse than other groups. Mortality was lower for regional group (NB + CPNB) than GA group. Mortality was increased with age, delay in surgery, and ASA and decreased with CPNB choice; however, it was not correlated with NB choice. Since the patients’ age and ASA status cannot be changed, they must be operated immediately. We recommend CPNB technique in high-risk patients to operate them earlier. |
| format | Article |
| id | doaj-art-b32f879ad9b14d86af5b9764279d21aa |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-b32f879ad9b14d86af5b9764279d21aa2025-02-03T06:11:28ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/708754708754Hip Fracture Mortality: Is It Affected by Anesthesia Techniques?Saffet Karaca0Egemen Ayhan1Hayrettin Kesmezacar2Omer Uysal3Department of Anesthesiology and Reanimation, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, TurkeyDepartment of Orthopaedics and Traumatology, Sariyer Ismail Akgun Public Hospital, 34473 Istanbul, TurkeyDepartment of Orthopaedics and Traumatology, Istanbul Bilim University Medical Faculty, 34349 Istanbul, TurkeyDepartment of Biostatistics and Medical Informatics, Bezmialem Vakif University Medical Faculty, 34093 Istanbul, TurkeyWe hypothesized that combined peripheral nerve block (CPNB) technique might reduce mortality in hip fracture patients with the advantage of preserved cardiovascular stability. We retrospectively analyzed 257 hip fracture patients for mortality rates and affecting factors according to general anesthesia (GA), neuraxial block (NB), and CPNB techniques. Patients’ gender, age at admission, trauma date, ASA status, delay in surgery, followup period, and Barthel Activities of Daily Living Index were determined. There were no differences between three anesthesia groups regarding to sex, followup, delay in surgery, and Barthel score. NB patients was significantly younger and CPNB patients’ ASA status were significantly worse than other groups. Mortality was lower for regional group (NB + CPNB) than GA group. Mortality was increased with age, delay in surgery, and ASA and decreased with CPNB choice; however, it was not correlated with NB choice. Since the patients’ age and ASA status cannot be changed, they must be operated immediately. We recommend CPNB technique in high-risk patients to operate them earlier.http://dx.doi.org/10.1155/2012/708754 |
| spellingShingle | Saffet Karaca Egemen Ayhan Hayrettin Kesmezacar Omer Uysal Hip Fracture Mortality: Is It Affected by Anesthesia Techniques? Anesthesiology Research and Practice |
| title | Hip Fracture Mortality: Is It Affected by Anesthesia Techniques? |
| title_full | Hip Fracture Mortality: Is It Affected by Anesthesia Techniques? |
| title_fullStr | Hip Fracture Mortality: Is It Affected by Anesthesia Techniques? |
| title_full_unstemmed | Hip Fracture Mortality: Is It Affected by Anesthesia Techniques? |
| title_short | Hip Fracture Mortality: Is It Affected by Anesthesia Techniques? |
| title_sort | hip fracture mortality is it affected by anesthesia techniques |
| url | http://dx.doi.org/10.1155/2012/708754 |
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