Postoperative Medical Complications Associated with Anesthesia in Older Adults with Dementia.
In: Journal of the American Geriatrics Society, Jg. 62 (2014-11-01), Heft 11, S. 2102-2109
Online
academicJournal
Zugriff:
Objectives To examine the association between anesthetic technique and postoperative complications in older adults with dementia undergoing hip fracture surgery. Design Population-based, retrospective cohort study. Setting Ontario, Canada. Participants All older adults with dementia who underwent surgery for hip fracture repair in Ontario, Canada, between April 1, 2003 and March 31, 2011. Measurements The baseline characteristics of individuals who received general anesthesia ( GA) and regional anesthesia ( RA) were compared. Individuals who received GA were matched to similar individuals who received RA using propensity scores to control for confounding, and their outcomes compared, including 30-day mortality, intensive care unit ( ICU) admissions, specific postoperative medical complications, and hospital length of stay ( LOS). Results In the 6,135 matched pairs, there was no statistically significant difference in postoperative 30-day mortality ( GA, 11.3%; RA, 10.8%, P = .44). There were no statistically significant differences in the rates of specific postoperative medical complications or LOS in the two anesthetic groups, but GA was associated with higher rates of ICU admissions (6.1% vs 4.2%, P < .001). Conclusion For older adults with dementia undergoing hip fracture surgery, GA and RA are associated with similar rates of most perioperative adverse events. Further studies are required to determine the optimal methods of providing anesthesia and perioperative care for older adults with dementia undergoing surgical procedures. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Postoperative Medical Complications Associated with Anesthesia in Older Adults with Dementia.
|
---|---|
Autor/in / Beteiligte Person: | Seitz, Dallas P. ; Gill, Sudeep S. ; Bell, Chaim M. ; Austin, Peter C. ; Gruneir, Andrea ; Anderson, Geoff M. ; Rochon, Paula A. |
Link: | |
Zeitschrift: | Journal of the American Geriatrics Society, Jg. 62 (2014-11-01), Heft 11, S. 2102-2109 |
Veröffentlichung: | 2014 |
Medientyp: | academicJournal |
ISSN: | 0002-8614 (print) |
DOI: | 10.1111/jgs.13106 |
Schlagwort: |
|
Sonstiges: |
|