Seven hundred forty-nine community-dwelling, previously ambulatory, elderly patients who sustained a femoral neck or intertrochanteric fracture underwent prospective follow-up to determine whether anesthetic technique (spinal or general) had an effect on inpatient morbidity and mortality, or 1-year mortality.
One hundred seven patients were excluded from the study as the anesthetic technique was « predetermined » based on a underlying medical condition.
Of the remaining 642 patients, 362 (56.4%) received general and 280 (43.6%) received spinal anesthesia.
Twenty (3.1%) patients died during hospitalization ; 73 (11.4%) patients developed one or more postoperative medical complications.
The 1-year mortality rate was 12.1%. There was no difference in inpatient morbidity and mortality, or 1-year mortality rates between patients receiving general or spinal anesthesia.
Mots-clés Pascal : Fracture, Hanche, Personne âgée, Homme, Chirurgie orthopédique, Traitement, Effet biologique, Anesthésie, Technique, Attitude cognitive, Epidémiologie, Morbidité, Mortalité, Os, Fémur, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Fracture, Hip, Elderly, Human, Orthopedic surgery, Treatment, Biological effect, Anesthesia, Technique, Cognitive attitude, Epidemiology, Morbidity, Mortality, Bone, Femur, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0114050
Code Inist : 002B25I. Création : 16/11/1999.