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General or Spinal Anesthesia for Hip and Femoral Fractures and Subsequent Risk of Mortality and Morbidity

Document Type : Original Article

Authors

1 Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Nursing, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran

3 Gerash Amir-al-Momenin Medical and Educational Center, Gerash University of Medical Sciences, Gerash, Iran

4 Department of Anesthesiology, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran

5 Department of Biostatistics, School of Paramedical, Gerash University of Medical Sciences, Gerash, Iran

6 Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran

7 Medical Student, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: There are still conflicting results on the
postoperative consequences of patients with hip and femoral
fractures based on the type of anesthesia. The aim of this study
was to compare mortality and morbidity of general and spinal
anesthesia in patients undergoing hip and femoral fractures.
Methods: In this analytical cross-sectional study, the information
of 93 patients who had undergone hip and femoral surgery with
general and spinal anesthesia was studied during 2011-2019 in
the medical records by census method. Data were analyzed using
SPSS 23 software and descriptive and analytical statistics.
Results: The general anesthesia group consisted of 29 patients
and the spinal anesthesia group included 64 patients. The two
groups were the same in terms of demographic information,
preoperative hemodynamic variables, and previous medical
history. The results of the independent t-test with a significance
level of 5% did not show a significant difference between the
two groups in the following variables: mean duration of surgery
and duration of anesthesia, mean arterial pressure and heart
rate after surgery, changes in blood pressure, and heart rate
during surgery, bleeding, intravenous fluids and blood products
intake, postoperative hemoglobin, number of days hospitalized
in the Intensive Care Unit and surgical ward. The mean postoperative mean arterial pressure score in the general anesthesia
group was significantly higher than the spinal group (P=0.004).
Complications and mortality after surgery did not differ between
the two types of anesthesia.
Conclusion: In general, these two methods of anesthesia do not
differ from each other in terms of postoperative complications and
mortality, and physicians can choose the appropriate anesthesia
method according to the specific conditions of the patients

Keywords

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Journal of Health Sciences & Surveillance System
Volume 10, Issue 1
January 2022
Pages 78-82
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