Retrospective investigation of postoperative morbidity and mortality related to anaesthesia types on the patients with neurological dysfunction who underwent orthopedic surgery Ortopedi̇k cerrahi̇ geçi̇ren olgularda i̇zlenen postoperati̇f nöroloji̇k kompli̇kasyonlarin retrospekti̇f olarak deǧerlendi̇ri̇lmesi̇


Yeniaydoǧmuş T., TÜRKER Y. G. , Yilmazlar A.

Anestezi Dergisi, vol.21, no.2, pp.91-98, 2013 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 2
  • Publication Date: 2013
  • Journal Name: Anestezi Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.91-98
  • Keywords: Neurologic diseases, Orthopedic surgery, Postoperative morbidity and mortality, Preoperative evaluation
  • Bursa Uludag University Affiliated: Yes

Abstract

Aim: Postoperative neurological complications have been a significant cause of morbidity and mortality. The aim of this study was to research the relationship between neurological disases, preoperative risk factors, neurological complications and the type of anaesthesia administered to the patients in orthopedic surgery. Materials and Methods: Two thousand and ten cases of elective surgery from the Department of Orthopedics and Traumatology of Uludag University Medical Faculty were retrospectively evaluated with respect of gender, age, clinical ASA status and anaesthesia type, existing neurological diseases and neurologic risk factors with postoperative neurological complications. Results: Neurological complications were observed in 30 (1.4%) subjects. The rate of developing postoperative neurological complication was estimated higher in patients older than the mean age, and with high ASA status. Neurological complications were observed in 19 (%63.3) subjects who had received general anaesthesia, and in 11 (%36.7) subjects who had received regional anaesthesia. Of a total 148 (%7.4) cases with pre-existing neurological diseases, complications were seen in 7 (%4.8) cases. Neurological complications were observed in 23 (%1.3) cases without any neurological diseases. The frequency of neurological complications was relatively more in patients who had neurological disease (p = 0.005). A total number of 363 cases have had pre-existing neurological risk factor (%18.1) and neurological complications were seen in 18 (%5) cases. Neurological complications were observed in 12 (%1) cases without any neurological risk factor. The presence of neurological risk factor was found statistically significant (p<0.001). Conclusion: As a result, careful preanesthetic evaluation must be performed in preoperative period. Existing neurological diseases and risk factors must be considered, and a watchful attention should be given to the patients with old age and high ASA status considering their neurological morbidity and mortality.