Does Anesthesia Type Affect Mortality Rates in Delayed Femoral Neck Fracture Surgery? A Retrospective Study
Seray Turkmen1, Mehmet Mutlu1, Bulent Karslioglu21Department of Anesthesia and Reanimation, Health Sciences University, Prof. Cemil Tascioglu City Hospital, Istanbul, Turkey, 2Department of Orthopedics and Traumatology, Health Sciences University, Prof. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Objectives: Traumatic femur fractures are a significant cause of mortality and morbidity in the elderly. Our study aims to investigate the effect of anesthesia type on mortality in delayed hip surgeries. Methods: 366 patients aged 65-80 years who underwent partial hip replacement surgery within 48 hours-5 days after hospitalization due to hip fracture were included in this retrospective study. Demographic information, the time between hospitalization and surgery, ASA (American Society of Anesthesiology) grades, the reason for the delay to surgery, comorbidities, postoperative complications due to anesthesia, and mortality rates at 30 days were obtained from the medical records of the patients and analyzed. Results: Significant statistical difference was not found between the two groups regarding postoperative complications (p=0.179). 30-day mortality rates rate was 3.5% in the spinal anesthesia group and 4.5% in the generalized anesthesia group. There was no difference between the two groups regarding 30-day mortality (p=0.672). Conclusion: The type of anesthesia preferred in hip surgeries performed 48 hours-5 days after trauma does not affect 30-day mortality. Regardless of the type of anesthesia applied, patients die depending on their accompanying comorbidities.
Cite This Article
Turkmen S, Mutlu M, Karslioglu B. Does Anesthesia Type Affect Mortality Rates in Delayed Femoral Neck Fracture Surgery? A Retrospective Study. EJMI. 2022; 6(2): 217-221
Corresponding Author: Mehmet Mutlu