A retrospective analysis of postoperative geriatric patients with hip fracture; the reasons for admission to ICU

Abstract

Aims: : Geriatric patients with hip fracture experience high rates of mortality and morbidity. The purpose of this study was to analyse the epidemiology, complications and reasons for admission to ICU of the postoperative geriatric patients undergoing hip fracture surgery. Methods: Patients aged 60 years and over who were operated on for hip fractures were retrospectively examined. Demographic characteristics, type of anesthesia (general/regional), operation time, and complications were recorded from the patients' files. Results: The median age of the patients included in the study was 78.9±8.39 (min 60-max 100). It was observed that 71.6% of the patients were women, 13 patients received general anesthesia, and the rest received regional anesthesia. It was determined that 56.2% of the patients were admitted to intensive care. It was found that the surgery duration of patients admitted to intensive care was longer, and their average age and ASA scores were higher. Conclusion: In our study, besides to the development of perioperative complications, age >80 years, ASA score 3 and 4, and long operation time were found to be the most important factors that required patients to be admitted to intensive care.