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British Journal of Anaesthesia, 1984, Vol. 56, No. 6 581-585
© 1984 The Board of Management and Trustees of the British Journal of Anaesthesia

other

LONG-TERM OUTCOME AFTER REPAIR OF FRACTURED NECK OF FEMUR

Comparison of subarachnoid and general anaesthesia

P. J. MCKENZIE, H. Y. WISHART and G. SMITH

Department of Anaesthesia Western Infirmary, Dumbarton Road, Glasgow G11 6NT
University Department of Anaesthesia Western Infirmary, Glasgow

One hundred and forty-eight patients undergoing "pin-and-plate" repair of fractured neck of femur received either subarachnoid blockade or general anaesthesia. The patients were followed up for 1 year after surgery. At the end of the year, 34% had died and 50% had returned home. Twelve per cent were either in hospital or in institutional care; 4% were lost to follow up. The mean duration of acute plus convalescent hospital bed occupancy was 54.4 days. There was a significantly lower mortality in the subarachnoid anaesthetic group by 14 days after surgery. The majority of the deaths in the general anaesthetic group were clustered between 6 and 16 days. However, at the end of 2 months the mortality rates were similar in both groups.lt is conceivable that the difference in the distribution of deaths between the groups was a result of thrombo-embolism.

* Nuffield Department of Anaesthetics, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE.

{dagger} Department of Anaesthesia, University of Leicester School of Medicine, Leicester.


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