Anesthetic Techniques in Octogenarians and Older Undergoing Orthopedic Surgery for Hip Fracture

Palabıyık, Onur; Bayar, Fikret; Caglar, Tugba; Toptaş, Yaşar; Erdem, Alı Fuat; Tuna, Ayça Taş

doi:10.5799/jcei.343194

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…5 Another study reported that the 30-day mortality rate in patients was 6%. 16 In a previous study conducted in our clinic, Palabiyik et al 7 found a 30-day postoperative mortality rate of 10.4% in patients operated on for hip fractures. However, our current study's 30-day mortality rate was 3.3%.…”

Section: Discussionmentioning

confidence: 85%

“…5 (PLT) are blood cells that have important roles in clotting and have also been shown to have functions in the inflammation process. 6,7 The PLT/ lymphocyte ratio (PLR) and the neutrophil/ lymphocyte ratio (NLR) are calculated values based on hemogram parameters and are used in studies as indicators of inflammation. 7,8 It is believed that elevated NLR values in elderly orthopedic patients may moderately predict adverse postoperative outcomes such as in-hospital mortality.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 The PLT/ lymphocyte ratio (PLR) and the neutrophil/ lymphocyte ratio (NLR) are calculated values based on hemogram parameters and are used in studies as indicators of inflammation. 7,8 It is believed that elevated NLR values in elderly orthopedic patients may moderately predict adverse postoperative outcomes such as in-hospital mortality. 9 Systemic immune inflammation index (SII) is another inflammatory marker used as a prognosis-determining factor in many diseases.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Inflammation Markers in Elderly Patients Undergoing Hip Fracture Surgery

ŞAHİN,

TEKECİ,

KOCAYİGİT

et al. 2024

Online Türk Sağlık Bilimleri Dergisi

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Objectives: High inflammatory markers are thought to be important in evaluating poor postoperative outcomes in older orthopedic patients. We aim to investigate the effect of inflammatory markers in patients over 80 who have undergone a hip fracture surgery regarding 30-day mortality and preoperative evaluation. Materials and Methods: Patients over 80 who had undergone hip fracture surgery were included. Age, gender, type of anesthesia, comorbidities, anticoagulant, intensive care unit (ICU) admission, hospitalization period, 30-day mortality rates, were recorded and platelet/lymphocyte ratio (PLR), neutrophil/lymphocyte ratio (NLR) and systemic immune inflammation index (SII) values were calculated. Results: The mean age was 85.48±4.07 years old. Postoperative ICU admission was found to be 41.1%, and the 30-day mortality rate was 3.3%. The PLR value was 191±105, the NLR value was 6.4±4.5, and the SII value was 1410±1210. A significant correlation was found between ICU hospitalization and mortality, preoperative and postoperative hospital stay. Conclusion: While there was a positive correlation between intensive care hospitalization and mortality, although no statistically significant correlation was found between the PLR, NLR and SII values and mortality rates, high values close to those stated in the literature were found.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of Inflammation Markers in Elderly Patients Undergoing Hip Fracture Surgery

ŞAHİN,

TEKECİ,

KOCAYİGİT

et al. 2024

Online Türk Sağlık Bilimleri Dergisi

Self Cite

View full text Add to dashboard Cite

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Association between General Anesthesia and the Occurrence of Cerebrovascular Accidents in Hip Fracture Patients

Wang¹,

Gao

2021

Journal of Healthcare Engineering

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Background. General anesthesia is an important factor leading to postoperative complications, and cerebrovascular accidents take the first place in the causes of postoperative death. Therefore, it is extremely important to explore the correlation between general anesthesia and the occurrence of cerebrovascular accidents in hip fracture patients. Objective. To explore the association between general anesthesia and the occurrence of cerebrovascular accidents in hip fracture patients. Methods. The data of 240 hip fracture patients treated in our hospital from February 2017 to February 2021 were retrospectively analyzed, and the patients were divided into the general anesthesia group (n = 120) and nongeneral anesthesia group (n = 120) according to whether or not they received general anesthesia, so as to compare their incidence rate of cerebrovascular accidents between the two groups, record their hemodynamic changes, and analyze the association between various risk factors under general anesthesia and the occurrence of cerebrovascular accidents. Results. No statistical differences in patients’ general information such as age and gender between the two groups were observed ( P > 0.05); compared with the nongeneral anesthesia group, the incidence rate of cerebrovascular accidents was significantly higher in the general anesthesia group ( P < 0.001); between the two groups, the heart rates and mean arterial pressure (MAP) at 15 min after anesthesia, at the time of skin incision, and 15 min before the end of surgery were significantly different ( P < 0.05); according to the multiple logistic regression analysis, general anesthesia was a risk factor affecting the occurrence of cerebrovascular accidents in hip fracture patients, and under general anesthesia, age ≥80 years, BMI ≥23 kg/m2, types of anesthetic drugs ≥4, intraoperative blood pressure ≥140 mmHg, and intraoperative heart rate ≥80 bpm were also regarded as the risk factors. Conclusion. General anesthesia is a risk factor affecting the occurrence of cerebrovascular accidents in hip fracture patients, and under general anesthesia, age ≥80 years, BMI ≥23 kg/m2, types of anesthetic drugs ≥4, intraoperative blood pressure ≥140 mmHg, and intraoperative heart rate ≥80 bpm will further increase the possibility of cerebrovascular accidents.

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Anesthetic Techniques in Octogenarians and Older Undergoing Orthopedic Surgery for Hip Fracture

Cited by 2 publications

References 26 publications

Evaluation of Inflammation Markers in Elderly Patients Undergoing Hip Fracture Surgery

Evaluation of Inflammation Markers in Elderly Patients Undergoing Hip Fracture Surgery

Association between General Anesthesia and the Occurrence of Cerebrovascular Accidents in Hip Fracture Patients

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