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J Contemp Med. 2014; 4(3): 143-150


The effects of anesthsia techniques on mobidity-mortality in geriatric patients underwent orthopedic surgery

Serkan Karaman, Tugba Karaman, Serkan Dogru, Aynur Sahin, Semih Arici.

Abstract
Aim: The purpose of this retrospective study is to investigate the effect of preoperative risk factors and anaesthesia techniques on perioperative complications and mortality in elderly patients.
Material and Methods: The records of the patients aged 65 or older who underwent orthopedic surgery between January 2013 and December 2013 were evaluated retrospectively. Demographic data, comorbidities, preoperative hemoglobin and creatinine levels, ASA, Lee index, type and length of surgery, anaesthesia technique, anesthetics and analgesics, peroperative and postoperative complications were recorded. Patients were divided into two groups; general anaesthesia and regional anaesthesia.
Results: A total of 255 patients including 160 (%62,7) females and 95 (%37,3) males over 65 years those underwent orthopedic surgery were included into this study. Since regional anesthesia was detected as a preferred anesthesia technique in patients with chronic obstructive lung disease (p = 0.001), there was no significance existed in comparison with the other comorbidities (p > 0.05). There was no significant difference found between general and regional anesthesia performed patients in comparison with peroperative and postoperative complications. A total of 12 (%4.7) patients underwent lower extremity surgery were resulted in exitus. A lower positive correlation was found between the ASA values of the patients and mortality (r = 0.205, p = 0.001).
Conclusion: It was concluded that the anesthesia method has no effect on early morbidity and mortality in geriatric patients underwent orthopedic surgery.

Key words: Anesthesia, orthopedic surgery, morbidity, mortality, geriatrics



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