Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study

Fadime Tosun; Ufuk Karbaş; Zeliha Bozkurt; Öznur Uludag; Hamza Nakır; Ebubekir Şeramet

doi:10.46332/aemj.1926164

Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study

Abstract

Purpose: This retrospective cohort study primarily aims to assess the connection between the type of anesthesia used and in-hospital mortality among elderly patients with hip fractures. Additionally, it seeks to investigate mortality rates post-surgery, at 30 days, and at 1 year, categorized by the need for intensive care (ICU), age groups, and ASA classification.

Materials and Methods: Researchers conducted a retrospective analysis of patients who had hip fracture surgery from January 2015 to February 2022, dividing them into three categories: those who received general anesthesia (Group G), those who underwent neuraxial anesthesia (Group N), and those who had a peripheral nerve block (Group P). They compared demographic data, ASA scores, ICU needs, length of hospital stay, in-hospital mortality, and mortality rates at 30 days and 1 year.

Results: A total of 944 geriatric patients participated in the study (Group G: n=74; Group N: n=828; Group P: n=42). The demographic characteristics were similar across the groups; however, the ASA scores were notably higher in the peripheral nerve block group (p=0.002). There was a significant variation in ICU admission rates among the groups (p<0.001), with Group P having the highest rate at 59.5%, followed by Group G at 52.7%, and Group N at 34.1%. The duration of ICU and hospital stays was comparable. In-hospital mortality was elevated in the peripheral nerve block group (p=0.026), while no significant differences were found in mortality at 30 days or 1 year. Regardless of the anesthesia method, patients aged 80 years or older and those with higher ASA scores were linked to increased mortality.

Conclusion: While the type of anesthesia seems linked to mortality rates and the need for ICU care in geriatric patients undergoing hip fracture surgery, factors related to the patient, such as older age and a higher ASA classification, might have a more significant impact. There were no notable differences in long-term mortality between the different anesthesia methods.

Keywords

Supporting Institution

None

Project Number

N/A

Ethical Statement

This study was approved by the institutional ethics committee (Date: 16 February 2022; Approval No: 02022/2-16).

Thanks

The authors would like to thank the staff of the Statistics Unit of Adıyaman University Training and Research Hospital for their valuable support during the data collection process.

References

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Details

Primary Language

English

Subjects

Anaesthesiology, Orthopaedics, Intensive Care

Journal Section

Research Article

Authors

Fadime Tosun ^*
0000-0003-4660-5497
Türkiye

Ufuk Karbaş This is me
0009-0008-1978-0154
Türkiye

Zeliha Bozkurt
0000-0002-1615-9898
Türkiye

Öznur Uludag
0000-0002-6017-5836
Türkiye

Hamza Nakır
0000-0002-9968-5219
Türkiye

Ebubekir Şeramet
0000-0001-6273-5721
Türkiye

Publication Date

August 31, 2026

Submission Date

April 8, 2026

Acceptance Date

June 22, 2026

Published in Issue

Year 2026 Volume: 10 Number: 2

DOI

https://doi.org/10.46332/aemj.1926164

IZ

https://izlik.org/JA55XK82LN

Cite

RIS / Bibtex

APA

Tosun, F., Karbaş, U., Bozkurt, Z., Uludag, Ö., Nakır, H., & Şeramet, E. (2026). Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study. Ahi Evran Medical Journal, 10(2), 275-283. https://doi.org/10.46332/aemj.1926164

AMA

1.Tosun F, Karbaş U, Bozkurt Z, Uludag Ö, Nakır H, Şeramet E. Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study. Ahi Evran Med J. 2026;10(2):275-283. doi:10.46332/aemj.1926164

Chicago

Tosun, Fadime, Ufuk Karbaş, Zeliha Bozkurt, Öznur Uludag, Hamza Nakır, and Ebubekir Şeramet. 2026. “Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study”. Ahi Evran Medical Journal 10 (2): 275-83. https://doi.org/10.46332/aemj.1926164.

EndNote

Tosun F, Karbaş U, Bozkurt Z, Uludag Ö, Nakır H, Şeramet E (August 1, 2026) Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study. Ahi Evran Medical Journal 10 2 275–283.

IEEE

[1]F. Tosun, U. Karbaş, Z. Bozkurt, Ö. Uludag, H. Nakır, and E. Şeramet, “Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study”, Ahi Evran Med J, vol. 10, no. 2, pp. 275–283, Aug. 2026, doi: 10.46332/aemj.1926164.

ISNAD

Tosun, Fadime - Karbaş, Ufuk - Bozkurt, Zeliha - Uludag, Öznur - Nakır, Hamza - Şeramet, Ebubekir. “Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study”. Ahi Evran Medical Journal 10/2 (August 1, 2026): 275-283. https://doi.org/10.46332/aemj.1926164.

JAMA

1.Tosun F, Karbaş U, Bozkurt Z, Uludag Ö, Nakır H, Şeramet E. Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study. Ahi Evran Med J. 2026;10:275–283.

MLA

Tosun, Fadime, et al. “Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study”. Ahi Evran Medical Journal, vol. 10, no. 2, Aug. 2026, pp. 275-83, doi:10.46332/aemj.1926164.

Vancouver

1.Fadime Tosun, Ufuk Karbaş, Zeliha Bozkurt, Öznur Uludag, Hamza Nakır, Ebubekir Şeramet. Impact of Anesthesia Type on Mortality and Postoperative Intensive Care Unit Admission in Geriatric Hip Fracture Surgery: A Retrospective Cohort Study. Ahi Evran Med J. 2026 Aug. 1;10(2):275-83. doi:10.46332/aemj.1926164