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Journal of Health Sciences and Surveillance System، جلد ۱۰، شماره ۱، صفحات ۷۸-۸۲

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عنوان انگلیسی General or Spinal Anesthesia for Hip and Femoral Fractures and Subsequent Risk of Mortality and Morbidity
چکیده انگلیسی مقاله Background: There are still conflicting results on thepostoperative consequences of patients with hip and femoralfractures based on the type of anesthesia. The aim of this studywas to compare mortality and morbidity of general and spinalanesthesia in patients undergoing hip and femoral fractures.Methods: In this analytical cross-sectional study, the informationof 93 patients who had undergone hip and femoral surgery withgeneral and spinal anesthesia was studied during 2011-2019 inthe medical records by census method. Data were analyzed usingSPSS 23 software and descriptive and analytical statistics.Results: The general anesthesia group consisted of 29 patientsand the spinal anesthesia group included 64 patients. The twogroups were the same in terms of demographic information,preoperative hemodynamic variables, and previous medicalhistory. The results of the independent t-test with a significancelevel of 5% did not show a significant difference between thetwo groups in the following variables: mean duration of surgeryand duration of anesthesia, mean arterial pressure and heartrate after surgery, changes in blood pressure, and heart rateduring surgery, bleeding, intravenous fluids and blood productsintake, postoperative hemoglobin, number of days hospitalizedin the Intensive Care Unit and surgical ward. The mean postoperative mean arterial pressure score in the general anesthesiagroup was significantly higher than the spinal group (P=0.004).Complications and mortality after surgery did not differ betweenthe two types of anesthesia.Conclusion: In general, these two methods of anesthesia do notdiffer from each other in terms of postoperative complications andmortality, and physicians can choose the appropriate anesthesiamethod according to the specific conditions of the patients
کلیدواژه‌های انگلیسی مقاله Anesthesia, Hip fractures, Femoral fractures, Mortality, Morbidity

نویسندگان مقاله Jalal Saem |
Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Hajar Haghshenas |
Department of Nursing, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran

Fateme Zare Qashlaghi |
Gerash Amir-al-Momenin Medical and Educational Center, Gerash University of Medical Sciences, Gerash, Iran

Fatemeh Mohseni |
Department of Anesthesiology, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran

Rouhollah Rouhandeh |
Department of Biostatistics, School of Paramedical, Gerash University of Medical Sciences, Gerash, Iran

Mohammad-Rafi Bazrafshan |
Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran

Amirhossein Saem |
Medical Student, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran


نشانی اینترنتی https://jhsss.sums.ac.ir/article_48117_aa18f7bde255865466da37b31b55d97f.pdf
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