Perioperative Cardiovascular Complications in Geriatric Patients Undergoing Orthopedic Surgery at Hua Hin Hospital
Keywords:
cardiovascular complications, anesthesia, orthopedics, elderlyAbstract
Objective: At present, geriatric patients in Thailand undergo more orthopedic surgery and experience perioperative cardiovascular complications due to the aging of all organ system. This study was aimed at exploring the incidence and associated factors of perioperative cardiovascular complications among these patients who had orthopedic surgery.
Method: A retrospective analytic study was conducted at Hua Hin Hospital. The data of the patients who aged over 60 years and underwent orthopedic surgery between 1 October 2015 and 30 September 2020 were extracted from medical records and anesthetic registry. Multivariate logistic regression was performed to identify the factors associated with the complications.
Results: Of 1,734 patients, the mean age was 70.27 ± 7.91; 66.2% were female and 63.5% were ASA physical status class II. Regional anesthesia was performed in 50% of the patients. Over half (58.2%) of the patients experienced cardiovascular complications in which hypotension (46.5%) was the most common. Age over 70 years (OR 1.32, 95% CI 1.06–1.63), anesthetic duration (OR 1.36, 95% CI 1.23–1.51) and regional anesthesia (OR 1.4, 95% CI 1.14–1.72) were significantly associated with cardiovascular complication.
Conclusion: The study shows the high incidence of cardiovascular complications among elderly patients who underwent orthopedic surgery. Thus, preoperative evaluation and preparation are essential. Additionally, it is crucial to provide an appropriate anesthesia technique, close monitoring and choose anesthetic medication that has least effect on cardiovascular system.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
