Factors associated with postoperative morbidity in patients underwend hip replacement surgery

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dc.contributor.authorKararmaz A.
dc.contributor.authorMenekşe A.
dc.contributor.authorYüksel Ş.
dc.contributor.authorKaya S.
dc.contributor.authorTurhano?lu S.
dc.date.accessioned2024-04-24T17:58:36Z
dc.date.available2024-04-24T17:58:36Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractWe 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.en_US
dc.identifier.endpage466en_US
dc.identifier.issn1304-0871
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-11444257033en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage460en_US
dc.identifier.urihttps://hdl.handle.net/11468/24012
dc.identifier.volume32en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural Anesthesiaen_US
dc.subjectGeneral Anaesthesiaen_US
dc.subjectHip Replacementen_US
dc.subjectMorbidityen_US
dc.subjectMortalityen_US
dc.titleFactors associated with postoperative morbidity in patients underwend hip replacement surgeryen_US
dc.title.alternativeKalça protezi ameliyati geçiren olgularda postoperatif morbidite ile i?lişkili faktörleren_US
dc.typeArticleen_US

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