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Anesthesiol Res Pract. 2012; 2012: 708754.
Published online Jan 12, 2012. doi:  10.1155/2012/708754
PMCID: PMC3265054
Hip Fracture Mortality: Is It Affected by Anesthesia Techniques?
Saffet Karaca, 1 Egemen Ayhan, 2 * Hayrettin Kesmezacar, 3 and Omer Uysal 4
1Department of Anesthesiology and Reanimation, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey
2Department of Orthopaedics and Traumatology, Sariyer Ismail Akgun Public Hospital, 34473 Istanbul, Turkey
3Department of Orthopaedics and Traumatology, Istanbul Bilim University Medical Faculty, 34349 Istanbul, Turkey
4Department of Biostatistics and Medical Informatics, Bezmialem Vakif University Medical Faculty, 34093 Istanbul, Turkey
*Egemen Ayhan: egemenay/at/
Academic Editor: Jacques E. Chelly
Received July 2, 2011; Revised September 10, 2011; Accepted October 11, 2011.
We hypothesized that combined peripheral nerve block (CPNB) technique might reduce mortality in hip fracture patients with the advantage of preserved cardiovascular stability. We retrospectively analyzed 257 hip fracture patients for mortality rates and affecting factors according to general anesthesia (GA), neuraxial block (NB), and CPNB techniques. Patients' gender, age at admission, trauma date, ASA status, delay in surgery, followup period, and Barthel Activities of Daily Living Index were determined. There were no differences between three anesthesia groups regarding to sex, followup, delay in surgery, and Barthel score. NB patients was significantly younger and CPNB patients' ASA status were significantly worse than other groups. Mortality was lower for regional group (NB + CPNB) than GA group. Mortality was increased with age, delay in surgery, and ASA and decreased with CPNB choice; however, it was not correlated with NB choice. Since the patients' age and ASA status cannot be changed, they must be operated immediately. We recommend CPNB technique in high-risk patients to operate them earlier.
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