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Anesthesiology Research and Practice
Volume 2012, Article ID 708754, 5 pages
Clinical Study

Hip Fracture Mortality: Is It Affected by Anesthesia Techniques?

1Department of Anesthesiology and Reanimation, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey
2Department of Orthopaedics and Traumatology, Sariyer Ismail Akgun Public Hospital, 34473 Istanbul, Turkey
3Department of Orthopaedics and Traumatology, Istanbul Bilim University Medical Faculty, 34349 Istanbul, Turkey
4Department of Biostatistics and Medical Informatics, Bezmialem Vakif University Medical Faculty, 34093 Istanbul, Turkey

Received 2 July 2011; Revised 10 September 2011; Accepted 11 October 2011

Academic Editor: Jacques E. Chelly

Copyright © 2012 Saffet Karaca et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We hypothesized that combined peripheral nerve block (CPNB) technique might reduce mortality in hip fracture patients with the advantage of preserved cardiovascular stability. We retrospectively analyzed 257 hip fracture patients for mortality rates and affecting factors according to general anesthesia (GA), neuraxial block (NB), and CPNB techniques. Patients’ gender, age at admission, trauma date, ASA status, delay in surgery, followup period, and Barthel Activities of Daily Living Index were determined. There were no differences between three anesthesia groups regarding to sex, followup, delay in surgery, and Barthel score. NB patients was significantly younger and CPNB patients’ ASA status were significantly worse than other groups. Mortality was lower for regional group (NB + CPNB) than GA group. Mortality was increased with age, delay in surgery, and ASA and decreased with CPNB choice; however, it was not correlated with NB choice. Since the patients’ age and ASA status cannot be changed, they must be operated immediately. We recommend CPNB technique in high-risk patients to operate them earlier.