Relationship between intra-operative hypotension and post-operative complications in traumatic hip surgery
| Autor: | Osama A. Khalil, Mohammad K El-Masri, Luma H Al-Shwiat, Muayyad Ahmad, Subhi M. Alghanem, Mahmoud M. Al-Mustafa, Islam M. Massad, Omar Q. Samarah |
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| Rok vydání: | 2020 |
| Předmět: |
Hip surgery
Hip fracture Blood transfusion Intra operative complications business.industry hip surgery medicine.medical_treatment Retrospective cohort study Perioperative intra-operative hypotension medicine.disease lcsh:RD78.3-87.3 Anesthesiology and Pain Medicine Blood pressure lcsh:Anesthesiology Anesthesia Medicine Original Article Post operative business |
| Zdroj: | Indian Journal of Anaesthesia Indian Journal of Anaesthesia, Vol 64, Iss 1, Pp 18-23 (2020) |
| ISSN: | 0019-5049 |
| DOI: | 10.4103/ija.ija_397_19 |
| Popis: | Background and Aims: The relationship between intra-operative hypotension and post-operative complications has been recently studied in non-cardiac surgery. Little is known about this relationship in traumatic hip surgery. Our study aimed to investigate this relationship. Methods: A retrospective study was conducted on patients who underwent surgical correction of traumatic hip fracture between 2010 and 2015. We reviewed the perioperative blood pressure readings and the episodes of intra-operative hypotension. Hypotension was defined as ≥30% decrease in the pre-induction systolic blood pressure sustained for ≥10 min. The relationship between intra-operative hypotension and post-operative complications was evaluated. Post-operative complications were defined as new events or diseases that required post-operative treatment for 48 h. Factors studied included type of anaesthesia, blood transfusion rate, pre-operative comorbidities and delay in surgery. We used the Statistical Package for Social Sciences (SPSS, IBM 25) to perform descriptive and non-parametric statistics. Results: A total of 502 patients underwent various types of traumatic hip surgery during the study period. Intra-operative hypotension developed in 91 patients (18.1%) and 42 patients (8.4%) developed post-operative complications. Significantly more patients with hypotension developed post-operative complications compared to patients with stable vitals (18.7% vs. 6.1; P < 0.001). There was no statistically significant difference in the incidence of post-operative complication in patients receiving general or spinal anaesthesia. Pre-operative comorbidities had no significant relationship with post-operative complications. Intra-operative blood transfusion was related to both intra-operative hypotension and post-operative complications. Conclusion: There was an association between intra-operative hypotension and post-operative complications in patients undergoing traumatic hip surgery. |
| Databáze: | OpenAIRE |
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