Abstract

GARCIA ALVAREZ, Pedro Julio; CABREJA MOLA, Edel  and  ESTRADA BRIZUELA, Yarima. Morbidity and mortality related to the anesthetic method in hip fracture. AMC [online]. 2015, vol.19, n.5, pp.450-458. ISSN 1025-0255.

Background: hip fracture is the most frequent cause of surgery in patients older than 65. Its incidence has increased and mortality doubles in people of this age. Objectives: to assess the impact of the anesthetic method, of comorbidities and of the delay of surgery on mortality and hospital stay. Results: the average age was 84 years ± 9, 3 years. The 95 % of the patients suffered from high blood pressure; the 51, 1% presented heart diseases. The 42 % of the patients suffered any type of delay of the surgery. The 51, 1 % presented complications. Global mortality was of a 13 %. General anesthesia was related to an increase in mortality (11 %) x2 =0, 61, Odd Ratio= 8, 6 and an increase in the postoperative complications (29%) x2 =0.77; Odd Ratio= 1.8. The comorbidities (84 %) of the patients were related to an increase in the mortality X2=0.67; Odd Ratio= 1.58. The hospital stay carried on after the general anesthesia x2 =0.91; Odd Ratio= 7.7. The delay of surgery was related to an increase in the mortality x2 =0.18; Odd Ratio= 8.9. Conclusions: neuraxial anesthesia reduced the mortality in the postoperative period. General anesthesia was related to a greater number of complications. The related diseases were a risk factor of postoperative mortality. The hospital stay carried on after the general anesthesia. Delay in the surgical procedure was another factor that influenced on the mortality.

Keywords : HIP FRACTURES [complications]; ANESTHESIA [METHODS]; ENVIRONMENTAL IMPACT; AGED; LONGITUDINAL STUDIES.

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