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- K J Koval, G B Aharonoff, A D Rosenberg, C Schmigelski, R L Bernstein, and J D Zuckerman.
- Department of Orthopedic Surgery, Hospital for Joint Diseases, New York, NY 10003, USA.
- Orthopedics. 1999 Jan 1;22(1):31-4.
AbstractSeven hundred forty-nine community-dwelling, previously ambulatory, elderly patients who sustained a femoral neck or intertrochanteric fracture underwent prospective follow-up to determine whether anesthetic technique (spinal or general) had an effect on inpatient morbidity and mortality, or 1-year mortality. One hundred seven patients were excluded from the study as the anesthetic technique was "predetermined" based on a underlying medical condition. Of the remaining 642 patients, 362 (56.4%) received general and 280 (43.6%) received spinal anesthesia. Twenty (3.1%) patients died during hospitalization; 73 (11.4%) patients developed one or more postoperative medical complications. The 1-year mortality rate was 12.1%. There was no difference in inpatient morbidity and mortality, or 1-year mortality rates between patients receiving general or spinal anesthesia.
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