Hip Fracture Mortality: Is It Affected by Anesthesia Techniques?

Author:

Karaca Saffet1,Ayhan Egemen2,Kesmezacar Hayrettin3,Uysal Omer4

Affiliation:

1. Department of Anesthesiology and Reanimation, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey

2. Department of Orthopaedics and Traumatology, Sariyer Ismail Akgun Public Hospital, 34473 Istanbul, Turkey

3. Department of Orthopaedics and Traumatology, Istanbul Bilim University Medical Faculty, 34349 Istanbul, Turkey

4. Department of Biostatistics and Medical Informatics, Bezmialem Vakif University Medical Faculty, 34093 Istanbul, Turkey

Abstract

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.

Publisher

Hindawi Limited

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

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