Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures

M. P. Hosking, C. M. Lobdell, M. A. Warner, K. P. Offord, L. J. Melton

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)142-147
Number of pages6
JournalAnaesthesia
Volume44
Issue number2
StatePublished - 1989

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General Anesthetics
Anesthesia
Conduction Anesthesia
Arthroplasty
General Anesthesia
Hip
Transurethral Resection of Prostate
Mortality
Morbidity
Survival
Hospital Mortality
Anesthetics
Population

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Hosking, M. P., Lobdell, C. M., Warner, M. A., Offord, K. P., & Melton, L. J. (1989). Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures. Anaesthesia, 44(2), 142-147.

Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures. / Hosking, M. P.; Lobdell, C. M.; Warner, M. A.; Offord, K. P.; Melton, L. J.

In: Anaesthesia, Vol. 44, No. 2, 1989, p. 142-147.

Research output: Contribution to journalArticle

Hosking, MP, Lobdell, CM, Warner, MA, Offord, KP & Melton, LJ 1989, 'Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures', Anaesthesia, vol. 44, no. 2, pp. 142-147.
Hosking, M. P. ; Lobdell, C. M. ; Warner, M. A. ; Offord, K. P. ; Melton, L. J. / Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures. In: Anaesthesia. 1989 ; Vol. 44, No. 2. pp. 142-147.
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