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Comparison of the effects of general and regional anesthesia on mortality and hospital length of stay in geriatric hip fractures

July 27, 2023

OBJECTIVE:
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.
PATIENTS AND METHODS:
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.
RESULTS:
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.