Comparison of general and regional anesthesia in femur fractures with geriatric ASA III and above in term of length of stay in the intensive care unit, morbidity and mortality

Hipfracturesareincreasing in thegeriatricpatients.Theneedforpostoperativeintensivecarealso is increasing. Inourstudy, weaimedtoexaminetheeffect of anesthesiamethodinhipfracturesurgery, on theduration of stay in theintensivecareunit, morbidityandmortality. 198 patientsover 65 years of agewith ASA III andaboveduetohipfracturewereanalyzedretrospectively. Demographic data, comorbidities, somebiochemicalparameters, transfusionamounts, ICU stay, APACHE scores, mortality, morbidityandcomplications of thepatients in thegroupwereevaluatedretrospectively as general andregionalanesthesiagroups. When general andregionalanesthesiawerecompared, APACHE scoresandintraoperativetransfusionamountwerefoundto be significantlyhigher in thegroupreceiving general anesthesia. Postoperativemechanicalventilatorduration, 8-28 daysmortality, cardiovascularsystemandinfectioncomplicationswerefoundto be significantlylower in theregionalanesthesiagroup (p<0,05). Theanesthesiamethodto be chosen in geriatricfemurfractures is stillunderdiscussion. Regionalanesthesiaseemsto be advantageous in reducingintraoperativetransfusions, loweringthepost-op APACHE score, reducingtheduration of mechanicalventilation, reducingmortalityandcomplications. Although itwasstatedthatregionalanesthesiawaspreferred in ourstudy, thesmallnumber of patients,theretrospectivenature of theexamination can belisted as thereasonsthat limit theinterpretation of mortalityandotherresults. Keywords: Geriatrics, Femur, RegionalAnesthesia, General Anesthesia, Mortality