Association between anesthesia technique and complications after hip surgery in the elderly population

作     者：Ling-Song Guo Li-Nan Wang Jian-Bing Xiao Min Zhong Gao-Feng Zhao 

作者机构：Second Clinical Medical CollegeGuangzhou University of Chinese MedicineGuangzhou 510000Guangdong ProvinceChina Department of AnaesthesiologyGuangdong Provincial Hospital of Chinese Medicine(the Second Affiliated Hospital of Guangzhou University of Chinese Medicine)Guangzhou 510000Guangdong ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第9期

页      面：2721-2732页

核心收录：

学科分类：1002[医学-临床医学] 100217[医学-麻醉学] 10[医学] 

主　　题：Spinal anesthesia General anesthesia Hip surgery Older population Complications 

摘      要：BACKGROUND Spinal anesthesia is superior to general anesthesia for postoperative recovery in older patients(≥65 age).However,evidence for this is *** To evaluate the effect of anesthesia on postoperative complications in older patients undergoing hip *** This is a retrospective,propensity score-matched,cohort ***≥65-years-old who underwent hip surgery at the Traditional Chinese Medicine of Guangdong Provincial Hospital in China from October 2016 to June 2020 were *** operative methods were femoral fracture’s internal fixation and hip *** orthopedic doctors in different hospitals of our group have varied requirements for patients’out-of-bed time after ***,spinal anesthesia or general anesthesia was selected according to the requirements of the orthopedic *** primary outcome of this study was complications during the hospitalization of the postoperative *** length of hospital stay,postoperative blood transfusion,routine blood analysis,renal function,coagulation function,and inflammatory correlations were secondary *** score matching(PSM)was performed utilizing logistic *** Among the 864 patients identified from the electronic medical record data database,we screened out those with incomplete medical record *** PSM of the baseline values of the two groups of patients,data of 309 patients(206 patients in spinal anesthesia group and 103 patients in general anesthesia)were utilized in this study.67/309 patients had complications,including postoperative limb dysfunction,pulmonary infection,delirium,lower extremity venous thrombosis,and *** incidence of complications was not related to anesthesia methods(P0.05),but the levels of D-Dimer(P=0.017),fibrinogen(P=0.005),and high-sensitivity C-reactive protein(hs CRP)(P=0.002)in the spinal anesthesia group were significantly higher than those in the general anesthesia *** Anesthesia technolog