title banner

OR in the News

OR in the News (selected articles)

Basdemirci A, Pekince O, Kaplevatsky R, Tire Y: Comparison of the effects of general and regional anesthesia on mortality and hospital length of stay in geriatric hip fractures. Eur Rev Med Pharmacol Sci 2023; 27: 9660-9667

July 27, 2023

In this study, we sought to compare the effects of general and regional anesthesia techniques on the length of hospital stay and morbidity-mortality in geriatric patients who have had hip fractures and under- went surgical treatment.
A total of 331 patients who were 65 or older and had had sur- gical treatment for elective or urgent hip frac- tures were classified into two groups; region- al and general anesthesia. Recorded variables were: age, sex, American Society of Anesthesi- ologists (ASA) score, comorbid disease, length of stay at the clinic, mortality, morbidity, intra- operative loss of blood, the necessity of blood transfusion, and type of fracture. These vari- ables were compared in the control groups and evaluated retrospectively.
For the regional anesthesia group, length of stay in the clinic, loss of blood, and necessity of blood transfusion were signifi – cantly lower compared to the general anesthe- sia group (p<0.05). Additionally, we found gen- eral anesthesia mortality and morbidity rates were significantly higher than regional anes - thesia (p<0.05). Finally, we determined that in- creased age and number of comorbid diseas- es increased the morbidity and mortality rates significantly (p<0.05). CONCLUSIONS:
This study evaluated region- al anesthesia’s advantages over general an- esthesia when treating geriatric hip fractures. This includes reduced morbidity-mortality rates, bleeding, and shorter length of hospital stay.