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Hip Fracture Surgery: Does Type of Anesthesia Matter?
Joint Authors
Rashid, Rizwan Haroon
Shah, Adil Aijaz
Shakoor, Amarah
Noordin, Shahryar
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Hip fracture surgery is a common procedure, and the geriatric population with its multiple comorbid conditions is at most at risk of developing anesthesia-related complications.
Data on the impact of type anesthesia on postoperative morbidity and mortality is limited.
The effects of regional and general anesthesia on postoperative outcomes need to be clearly elucidated.
Methods.
In this study, all patients who underwent dynamic hip screw (DHS) fixation for intertrochanteric fractures, between January 2005 and December 2010, at the Aga Khan University Hospital, were included.
Patients were divided into two groups; group A included those patients who received general anesthesia, and group B consisted of patients who had received regional anesthesia.
The two groups were compared for differences in morbidity, mortality, and intraoperative complications based on the type of anesthesia administered.
Results.
During this period, 194 patients underwent DHS fixation.
One hundred and seven patients received general anesthesia whereas eighty-seven patients received regional anesthesia.
The mean operative time was significantly lower in the group receiving regional anesthesia (1.25±0.39 hrs) as compared to those who received general anesthesia (1.54±0.6 hrs) (P<0.05).
There were no statistically significant differences in the rates of wound infections, length of hospital stay, postoperative ambulation status, intraoperative blood loss, postoperative complications, and mortality between the regional and general anesthesia groups.
Conclusion.
Even though administration of regional anesthesia was positively correlated with shorter operative duration, the type of anesthesia was not found to affect surgical outcomes in the two study groups.
Based on these results, we recommend that anesthesia should be tailored to individual patient requirements.
American Psychological Association (APA)
Rashid, Rizwan Haroon& Shah, Adil Aijaz& Shakoor, Amarah& Noordin, Shahryar. 2013. Hip Fracture Surgery: Does Type of Anesthesia Matter?. BioMed Research International،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1003802
Modern Language Association (MLA)
Rashid, Rizwan Haroon…[et al.]. Hip Fracture Surgery: Does Type of Anesthesia Matter?. BioMed Research International No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-1003802
American Medical Association (AMA)
Rashid, Rizwan Haroon& Shah, Adil Aijaz& Shakoor, Amarah& Noordin, Shahryar. Hip Fracture Surgery: Does Type of Anesthesia Matter?. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1003802
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1003802