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December 1, 1982Acta Anaesthesiologica Scandinavica

Survival of Female Geriatric Patients after Hip Fracture Surgery. A Comparison of 5 Anesthetic Methods

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Why the study?

Does the type of anesthesia affect survival in female geriatric patients undergoing hip fracture surgery?

Population

169 female geriatric patients undergoing surgery for hip fracture, mean age 80.9 years

Comparison

Epidural, neurolept analgesia, ketamine… vs Other anesthetic methods and expected survival…

Design

Cohort

Follow-up

up to 4 years

Authors

IWI. WickströmSahlgrenska University HospitalIHIngrid Martins HolmbergUniversity of GothenburgTST. StefánssonSahlgrenska University Hospital

Discussion

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Implication

Anesthesia choice should not yet guide decisions in this population; leaves open whether RCTs would detect differences after adjusting for frailty.

Structured PICO

Does the type of anesthesia affect survival in female geriatric patients undergoing hip fracture surgery?

P
Population
169 female geriatric patients undergoing surgery for hip fracture, mean age 80.9 years
I
Intervention
Epidural, neurolept analgesia, ketamine, enflurane, or halothane anesthesia
C
Comparator
Other anesthetic methods and expected survival of normal groups of women with the same age distribution
O
Outcome
Rate of survival up to 4 years after the operationhard clinical

The type of anesthesia does not significantly impact short-term mortality in female geriatric patients undergoing hip fracture surgery, with preoperative condition and age being the primary determinants of survival.

Limitations

  • Many factors other than the anesthetic method may be more important for late survival differences

Cite This Study

Wickström et al. (1982) studied this question.

synapsesocial.com/papers/6a83acfdd65172829ee656a3https://doi.org/10.1111/j.1399-6576.1982.tb01825.x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiovascular and neurological function in elderly patients sustaining a fracture of the neck of the femur1981 · 41 citations
  2. 2AN ANALYSIS OF DEATHS ON AN ORTHOPAEDIC SERVICE1951 · 6 citations
  3. 3Episodic Cardiac Arrhythmia and Femoral Neck Fracture1980 · 17 citations
  4. 4Mortality after Hip Fractures1979 · 205 citations