Factors associated with postoperative morbidity in patients underwend hip replacement surgery
[ X ]
Tarih
2004
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We aimed to evaluate whether preoperative health conditions, the anesthetic technique and intraoperative events such as hypotension, blood replacement were associated with postoperative morbidity in patients undergoing hip replacement surgery. Preoperative risk factors were recorded before the surgery. Ninety patients undergoing hip arthroplasty were randomized to receive either epidural or general anesthesia. Intraoperative events such as bradycardia, hypotension, tachycardia and hypoxia were recorded. During postoperative period, major complications and postoperative mortality were also recorded. The effects of risk factors and anesthesia techniques on postoperative morbidity were investigated by logistic regression analysis. Age (p=0.003), ASA (p=0.015), diabetes mellitus (p=0.045), congestive heart failure (p=0.024) and Goldman risk index (p=0.014) were found to be associated with postoperative morbidity. Ambulation time was significantly lower in the epidural anesthesia group (p<0.05). Mortality rate in the general anesthesia group was 9%, compared with 7% in the epidural anesthesia group (p=0.666) We concluded that the anesthesia technique is not related to postoperative morbidity. Our findings suggest that the incidence of postoperative morbidity increases in patients with diabetes mellitus, congestive heart failure and advanced age. ASA and Goldman cardiac risk indexes are useful to predict postoperative morbidity. We believe that during decision of anesthesia technique, it would be more suitable to determine factors other than factors influencing postoperative mortality or morbidity.
Açıklama
Anahtar Kelimeler
Epidural Anesthesia, General Anaesthesia, Hip Replacement, Morbidity, Mortality
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
32
Sayı
6
