COMPARATIVE STUDY OF TWO ANESTHESIA METHODS ACCORDING TO POSTOPERATIVE COMPLICATIONS AND ONE MONTH MORTALITY RATE IN THE CANDIDATES OF HIP SURGERY

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HEIDARI SAIED MORTEZA; SOLTANI HASANALI; HASHEMI SAIED JALAL; TALAKOUB REIHANAK; SOLEIMANI BAHRAM

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Journal: JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS) Year:2011 | Volume:16 | Issue:3 Page(s): 323-330

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Title

COMPARATIVE STUDY OF TWO ANESTHESIA METHODS ACCORDING TO POSTOPERATIVE COMPLICATIONS AND ONE MONTH MORTALITY RATE IN THE CANDIDATES OF HIP SURGERY

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Keywords

GENERAL ANESTHESIA

NEURAXIAL ANESTHESIA

HIP FRACTURES

MORBIDITY

MORTALITY

Abstract

BACKGROUND: Surgery for HIP FRACTURES can be done under general or NEURAXIAL ANESTHESIA. This study aimed to com-pare these two methods concerning their postoperative complications, duration of operation, hospitalization and the MORTALITY rate within a period of one month after surgery. METHODS: 400 patients aged more than 30 years old and scheduled for elective operative fixation of fractured hip, ran-domly enrolled in two equal groups of general (GA) and neuraxial (NA) anesthesia. Hemoglobin level was measured before and 6 hours, 2, 3 and 5 days after the surgery. The intra and postoperative blood loss, duration of surgery, the severity of pain at the time of discharge from recovery and at the 2nd, 3rd and 5th postoperative days were recorded. Sta-tistical analysis was performed using SPSS version 12.0 by Mann-Whitney, chi-square, and t tests. P<0.05 was consi-dered significant. RESULTS: Both groups were similar regarding age, weight, and gender ratio. There was no significant difference in baseline hemoglobin, duration of surgery, length of hospitalization before surgery and the type of surgery. The mean of intraoperative blood loss and visual analogue score (VAS) in recovery and at the 3rd postoperative day, and also the length of hospitalization after surgery were significantly less in NEURAXIAL ANESTHESIA group. Both groups showed a sig-nificant decrease in hemoglobin values on the 2nd and 3rd postoperative days comparing to the baseline (p<0.001). CONCLUSIONS: The MORBIDITY and MORTALITY rates of patients undergoing hip surgery were similar in both methods of anesthesia, but postoperative pain, blood loss, and duration of hospitalization were more in patients undergoing GENERAL ANESTHESIA.

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APA: Copy

HEIDARI, SAIED MORTEZA, SOLTANI, HASANALI, HASHEMI, SAIED JALAL, TALAKOUB, REIHANAK, & SOLEIMANI, BAHRAM. (2011). COMPARATIVE STUDY OF TWO ANESTHESIA METHODS ACCORDING TO POSTOPERATIVE COMPLICATIONS AND ONE MONTH MORTALITY RATE IN THE CANDIDATES OF HIP SURGERY. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), 16(3), 323-330. SID. https://sid.ir/paper/564651/en

Vancouver: Copy

HEIDARI SAIED MORTEZA, SOLTANI HASANALI, HASHEMI SAIED JALAL, TALAKOUB REIHANAK, SOLEIMANI BAHRAM. COMPARATIVE STUDY OF TWO ANESTHESIA METHODS ACCORDING TO POSTOPERATIVE COMPLICATIONS AND ONE MONTH MORTALITY RATE IN THE CANDIDATES OF HIP SURGERY. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS)[Internet]. 2011;16(3):323-330. Available from: https://sid.ir/paper/564651/en

IEEE: Copy

SAIED MORTEZA HEIDARI, HASANALI SOLTANI, SAIED JALAL HASHEMI, REIHANAK TALAKOUB, and BAHRAM SOLEIMANI, “COMPARATIVE STUDY OF TWO ANESTHESIA METHODS ACCORDING TO POSTOPERATIVE COMPLICATIONS AND ONE MONTH MORTALITY RATE IN THE CANDIDATES OF HIP SURGERY,” JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), vol. 16, no. 3, pp. 323–330, 2011, [Online]. Available: https://sid.ir/paper/564651/en

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