The Impact of Timing of Surgery and the Anesthesia Technique in Hip Fracture Surgery on In-hospital Mortality and Length of Hospital Stay
| Autor: | Kamil Pembeci, Mehmet İlke Büget, Kemalettin Koltka, Mustafa Caglar Kir, Gulay Kir |
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| Přispěvatelé: | Kır, Gülay, Buget, Mehmet, Koltka, Kemalettin, Kir, Mustafa Çağlar, Pembeci, Kamil, Koç University Hospital |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Journal of Academic Research in Medicine |
| ISSN: | 2147-1894 2146-6505 |
| DOI: | 10.4274/jarem.galenos.2019.2076 |
| Popis: | Objective: to point the positive impact of early surgery (performed within 48 hours) and non-general anesthesia techniques on early outcomes like in-hospital mortality and length of hospital stay (LOS). Methods: seven hundred and ten patients were included in this retrospective study. Patients aged 50 years and over, who were admitted to our hospital with hip fracture, were included, while the patients with pathological fractures or polytraumatic injuries were excluded. Results: the median age of the patients was 75.8 +/- 10,.3 years. Four hundred and sixty-nine (66.1%) patients were female. Six hundred and eighty-two patients (96.1%) were treated surgically, 16 patients (2.25%) received conservative treatment and 12 patients (1.7%) died before scheduled surgery. General anesthesia (n=328), spinal anesthesia (n=268), unilateral spinal anesthesia (n=47), peripheral nerve block (n=29), and combined spinal-epidural (CSE) anesthesia (n=10) were the anesthesia techniques used for surgery. Patients who were treated within 48 hours (G1) had lower in-hospital mortality than the patients who were treated lately (G2) (0.8% vs 4,7%). The LOS for G1 was 8.6 days whereas it was 17.5 days for G2 (p Toranomon Hospital; Okinaka Memorial Institute for Medical Research; Gout Research Foundation in Japan |
| Databáze: | OpenAIRE |
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