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Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures
Author(s) -
Hosking M. P.,
Lobdell C. M.,
Warner M. A.,
Offord K. P.,
Melton L. J.
Publication year - 1989
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1989.tb11166.x
Subject(s) - medicine , general anaesthesia , general anaesthetic , transurethral resection of the prostate , surgery , regional anaesthesia , anesthesia , population , american society of anesthesiologists , mortality rate , prostate , environmental health , cancer
Summary Peri‐operative morbidity and mortality and long term outcome of patients over 90 years of age who underwent either total hip arthroplasty or transurethral prostate resection were studied retrospectively. The outcomes of patients who received regional or general anaesthesia were compared. One hundred and forty‐one patients underwent total hip arthroplasty and 44 patients underwent transurethral prostate resection during the study period (1975‐1985). Overall in‐hospital mortality was 4.9%. Mortality at 30 days was 5.3% in patients who underwent hip arthroplasty during regional anaesthesia, compared with 6.8% in those who received general anaesthesia. Long term survival was similar for these two groups and was longer than projected for age and gender‐matched general population cohorts. The 30‐day mortality rate was 3.2% for patients who underwent prostatic resection under regional anaesthesia; no deaths occurred in the general anaesthesia group. This difference was not statistically significant. Long term survival was similar for patients in both groups and was better than predicted. Anaesthetic technique did not influence short term morbidity and mortality or long term outcome for these procedures.