Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study

F1000Research
Caroline Gremillet, Jan G Jakobsson

Abstract

Background: Hip fractures affect 1.6 million patients yearly worldwide, often elderly with complex comorbidity. Mortality following surgery for acute hip fracture is high and multifactorial; high age, comorbidities and complication/deterioration in health following surgery. Whether the anaesthesia technique affects the 30-day mortality rate has been studied widely without reaching a consensus. The primary aim of this study was to determine anaesthetic techniques used in Sweden and their impact on the 30-day mortality rate in elderly undergoing acute hip fracture surgery. Other aims were to study the impact of age, gender, ASA class, fracture type and delay in surgery on the 30-day mortality rate. Methods: Data from 13,649 patients ≥50 years old who had undergone acute hip fracture surgery and been reported to Swedish perioperative register (SPOR) between 2016 and 2017 were analysed.     Results: The most commonly used anaesthetic technique was neuraxial anaesthesia (NA; 11,257, 82%), followed by general anaesthesia (GA; 2,190, 16%) and combined general and neuraxial anaesthesia (CA; 202, 1.5%) out of the 13,649 studied. The 30-day mortality rate was 7.7% for the entire cohort; GA 7.8%, NA 7.7% and CA 7.4%. Mortality was higher ...Continue Reading

References

Jan 12, 2011·Indian Journal of Orthopaedics·Dinesh K DhanwalCyrus Cooper
Jul 25, 2014·JAMA : the Journal of the American Medical Association·Mark D NeumanJeffrey H Silber
Apr 30, 2015·Journal of Orthopaedic Surgery·Bastiaan L GinselRoss W Crawford
Sep 22, 2015·European Journal of Anaesthesiology·Michelle S ChewUNKNOWN Swedish Perioperative Register
Jun 14, 2016·Journal of Clinical Anesthesia·Gianluca Cappelleri, Andrea Fanelli
Feb 17, 2017·Journal of Evaluation in Clinical Practice·Usha GurunathanPaul Fulbrook
Aug 11, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·E R FlikweertI H F Reininga
Feb 27, 2018·Clinical Orthopaedics and Related Research·Joyce C ZhangPeter Cram
Apr 7, 2018·Geriatric Orthopaedic Surgery & Rehabilitation·Ariana LottKenneth A Egol

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