Mortality Following Surgery for Proximal Femoral Fractures

Mortality Following Surgery for Proximal Femoral Fractures

Proximal femoral fractures are most frequent traumatologic and orthopedic diagnoses undergoing surgery. It affect most seniors and accompanied by a series of complications. The aim of our retrospective clinical trial is to establish a thirty-day mortality rate after surgical solutions, mortality during hospitalization and compare the types of anesthesia chosen during the performance (general vs. subarachnoid anesthesia).

We evaluate relationship between the monitored parameters and 30 day survival.

Observed parameters:

• age of the patient
• sex of the patient
• 90 days mortality rate
• American Society of Anesthesiologists (ASA) score
• time since injury and surgery (hours)
• whether surgery was initiated during the day (7:00 - 20:00) or at night (20:00-07:00)
• type of administered anesthesia (GA, epidural anaesthesia, Subarachnoid (spinal) block)
• hemoglobin level prior to surgery
• haemotransfusion administration during surgery
• perioperative administration of vasopressors
• anesthetist erudition (with / without accomplished residency)
• surgeon erudition (with / without accomplished residency)

Inclusion Criteria:

• isolated fracture of proximal femur indicated for surgery

Exclusion Criteria:

• children under 18 years
• none isolated trauma
• isolated fracture of proximal femur without surgery