SavedAdd your journal

Journals / Anestezi Dergisi / 2019 / Cilt: 27 - Sayı: 3

Factors Associated with Postoperative Mortality in Geriatric Orthopedic Surgery: A Retrospective Analysis of Single Center Data

Geriatrik Ortopedik Cerrahide Postoperatif Mortalite ile İlişkili Faktörler: Tek Merkez Verilerinin Retrospektif Analizi

Gamze KÜÇÜKOSMAN
Tuğçe ÖZTÜRK
Hüseyin ÖZTOPRAK
Hilal AYOĞLU
Pages
186–192
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The postoperative mortality rates were highest (76.9%) among patients who underwentamputation surgery (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In our study the factors related to anesthesia and peroperative variables associatedwith postoperative mortality among patients aged ≥65 years who had undergone orthopedicsurgery were assessed.Methods: Reports on patients aged ≥65 years who had undergone orthopedic surgery between2015 and 2017 were investigated retrospectively.Results: A total of 135 patients were included in the study.
📊
Key Findings & Data:The operations comprised implanta-tions of total hip prosthesis in 26%, total knee prosthesis in 18%, fixation of lower extremityfractures in 24, and upper extremity fractures in 14%, and amputation surgery in 17% of thepatients.
💡
Conclusion & Impact:The postoperative mortality rates were highest (76.9%) among patients who underwentamputation surgery (p
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In our study the factors related to anesthesia and peroperative variables associatedwith postoperative mortality among patients aged ≥65 years who had undergone orthopedicsurgery were assessed.Methods: Reports on patients aged ≥65 years who had undergone orthopedic surgery between2015 and 2017 were investigated retrospectively.Results: A total of 135 patients were included in the study. The operations comprised implanta-tions of total hip prosthesis in 26%, total knee prosthesis in 18%, fixation of lower extremityfractures in 24, and upper extremity fractures in 14%, and amputation surgery in 17% of thepatients. The postoperative mortality rates were highest (76.9%) among patients who underwentamputation surgery (p

Özet

Amaç: Çalışmamızda, ortopedik cerrahi uygulanan 65 yaş ve üstü hastalarda postoperatif mortalite ile ilişkili peroperatif değişkenler ve anestezi ile ilişkili faktörler değerlendirildi. Yöntem: 2015-2017 yılları arasında ortopedik cerrahi geçiren ≥65 yaş hasta kayıtları retrospektif olarak incelendi. Bulgular: Araştırmaya 135 hasta dahil edildi. Ameliyatların %26’sını total kalça protezi, %24’ünü alt ekstremite kırığı, %18’ini total diz protezi, %17’sini ampütasyon cerrahisi ve %14’ünü üst ekstremite kırığı oluşturuyordu. Amputasyon cerrahisi geçirenlerde postoperatif mortalite oranı (%76.9) en yüksekti (p

🔖

Cite This Article

KÜÇÜKOSMAN, G., ÖZTÜRK, T., ÖZTOPRAK, H., AYOĞLU, H. (2022). Factors Associated with Postoperative Mortality in Geriatric Orthopedic Surgery: A Retrospective Analysis of Single Center Data. Anestezi Dergisi, Cilt: 27 - Sayı: 3, 186–192. https://ajindex.com/articles/440481

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Etzioni DA, Liu JH, Maggard MA, Ko CY. The aging popu- lation and its impact on the surgery workforce. Ann Surg. 2003;238:170-7. https://doi.org/10.1097/01.SLA.0000081085.98792.3d
  2. Partridge JS, Harari D, Martin FC, Dhesi JK. The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergo- ing scheduled surgery: a systematic review. Anaesthesia. 2014;1:8-16. https://doi.org/10.1111/anae.12494
  3. Karademir G, Bilgin Y, Erşen A, et al. Hip fractures in patients older than 75 years old: Retrospective analy- sis for prognostic factors.Int J Surg. 2015;24:101-4. https://doi.org/10.1016/j.ijsu.2015.11.009
  4. Imbelloni LE, Gouveia M, Filho GBM, Silva A. Outcome after Anesthesia and Orthopedic Surgery in Patients Nonagenarians and Centenarians Im J Anesth Clin Res. 2014;5:6. https://doi.org/10.4172/2155-6148.1000411
  5. Bilsel K, Erdil M, Gulabi D, Elmadag M, Cengiz O, Sen C. Factors affecting mortality after hip fracture surgery: a retrospective analysis of 578 patients. Eur J Orthop Surg Traumatol. 2013;23:895-900. https://doi.org/10.1007/s00590-012-1104-y
  6. Atay T, Ceylan BC, Özmeriç A, Eroğlu F, Yavuz L, Heybeli N, et al. The Effects of Related Factors on One- and Two-Year Mortality after a Hip Fracture in Elderly Turkish Patients. Trakya Univ Tip Fak Derg. 2010;27:127- 31. Thomas DR, Ritchie CS. Preoperative assessment of older adults. J Am Geriatr Soc. 1995;43:811-21. https://doi.org/10.1111/j.1532-5415.1995.tb07058.x Miller DL. Perioperative care of the elderly patient: special considerations. Cleve Clin J Med. 1995;62:383- 90. https://doi.org/10.3949/ccjm.62.6.383
  7. Karaman S, Karaman T, Doğru S, Şahin A, Arıcı S. The effects of anesthsia techniques on mobidity-mortality in geriatric patients underwent orthopedic surgery Journal of Contemporary Medicine. 2014;4:143-50.
  8. Endo Y, Aharonoff GB, Zuckerman JD, Egol KA, Koval KJ. Gender differences in patients with hip fracture: a greater risk of morbidity and mortality in men. J Orthop Trauma. 2005;19:29-35. https://doi.org/10.1097/00005131-200501000-00006 Forsén L, Sogaard AJ, Meyer HE, Edna T, Kopjar B. Survival after hip fracture: short- and long-term excess mortality according toage and gender. Osteoporos Int. 1999;10:73-8. https://doi.org/10.1007/s001980050197
  9. Chung JY, Chang WY, Lin TW, et al. An analysis of surgi- cal outcomes in patients aged 80 years and older. Acta Anaesthesiol Taiwan. 2014;52:153-8. https://doi.org/10.1016/j.aat.2014.09.003
  10. Haentjens P, Magaziner J,