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. 2012:2012:708754.
doi: 10.1155/2012/708754. Epub 2012 Jan 12.

Hip fracture mortality: is it affected by anesthesia techniques?

Saffet Karaca  1 , Egemen Ayhan, Hayrettin Kesmezacar, Omer Uysal
Affiliations

Hip fracture mortality: is it affected by anesthesia techniques?

Saffet Karaca et al. Anesthesiol Res Pract. 2012.

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.

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Figures

Figure 1
Figure 1
The graph shows a Kaplan-Meier survival curve for general anesthesia (GA), neuraxial block (NB), and combined peripheral nerve block (CPNB) patients.
See this image and copyright information in PMC

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