AI Summary & Key Takeaways
AI InsightAmbulation time was significantly lower in the epidural anesthesia group (p
📌 3 Key Takeaways
Abstract
We 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
Özet
Çalışmamızda kalça protezi ameliyatı için seçilen anestezi tipinin, hastanın preoperatif kondisyonunun ve intraoperatif dönemdeki kanama, hipotansiyon gibi olayların postoperatif morbiditeye etkilerini araştırdık.Olgular ameliyattan bir gün önce değerlendirilerek preoperatif risk faktörleri kaydedildi. 90 hasta rastgele epidural ya da genel anestezi alacak şekilde ikiye ayrıldılar. Bradikardi, hipotansiyon, taşikardi gibi intraoperatif olaylar kaydedildi. Postoperatif dönemde major komplikasyonlar ve mortalite kaydedildi. Risk faktörlerinin ve anestezi tipinin postoperatif morbiditeye etkisi lojistik regresyon analizi kullanılarak araştırıldı.Yaş (p=0.003), ASA (p=0.015), diyabet varlığı (p=0.045), konjestif kalp yetmezliği (p=0.024) ve Goldman indeksi (p=0.014) postoperatif morbidite ile ilişkili faktörler olarak saptandı. Epidural anestezi grubunda ambulasyon zamanı daha kısaydı (p