Anesthesia
Conditions
Brief summary
Average life span, life expectancy, and the number of older people, aged 65 years and over, have increased during the last decades. As life expectancy increased, the rate of emergency and elective surgical interventions has also increased in the older age group. Although good health is required to reach an advanced age, over time, organ functions may deteriorate, and some challenges may develop that will negatively affect the balance of homeostasis. Stress, such as trauma or surgery, can cause deterioration in organ functions or aggravation of impaired functions. The risk of developing undesirable events is higher, due to the diminished reserve and function, during anesthesia applied to these patients. There is a limited number of studies in the literature about the relation between the anesthesia technique and morbidity and mortality in oldest old patients operated for orthopedic surgery. In this study, we aimed to analyze the data of the oldest-old patients operated on for orthopedic surgery between 2016-2022, retrospectively, and to investigate the relationship between anesthesia technique and adverse effects including morbidity and mortality.
Interventions
OTHERPatient' ages
Patients were divided into two groups according to their ages.
Sponsors
Istanbul Medeniyet University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
80 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Aged 80 years and above * Underwent orthopedic surgery
Exclusion criteria
* Those who had the operation with local anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | one month after operation | postoperative mortality |
| Anesthesia Techniques | up to 6 hours | Data were also analyzed and compared with groups and between groups according to the applied anesthesia technique (general anesthesia versus regional anesthesia). |
| Type of operation | up to 6 hours | Orthopedic surgery type |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Presence and type of comorbidities | 6 month period before operation | Hypertension, dementia, asthma, COPD (Chronic obstructive pulmonary disease), CHF (Chronic Heart Failure), CAD (Coronary artery disease), DM (Diabetes mellitus), valvular heart disease, history of pulmonary emboli, electrolyte imbalance, presence of cancer, renal diseases, history of cerebrovascular disease, endocrine diseases, neurologic diseases, other chronic diseases |
Countries
Turkey (Türkiye)
Outcome results
None listed