@article{10.11648/j.ijacm.20221001.11,
  author = {Gilles Niengo Outsouta and Papa Ibrahima Ndiaye and Christ Mayick Mpoy Emy Monkessa and Marie Elombila and Peggy Dahlia Gallou Leyono-Mawandza and Papa Alassane Leye and Berlinda Erna Essenam Vanessa de Medeiros and Gilbert Fabrice Otiobanda and Elisabeth Diouf},
  title = {Anesthesia Practice for Hip Fractures in the Elderly at University Hospital Aristide Le Dantec of Dakar, Republic of Senegal},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {10},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.ijacm.20221001.11},
  url = {https://doi.org/10.11648/j.ijacm.20221001.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20221001.11},
  abstract = {Aim: to describe the perioperative management of hip fractures in the elderly at Aristide Le Dantec University Hospital, in Dakar. Materials and Methods: It was a single-center retrospective study, over 24 months, in the surgical emergency rooms of the university hospital Aristide Le DANTEC in Dakar. We Included anyone person aged at least 65 years and over, who had undergone emergency hip surgery. The epidemiological, preoperative, intraoperative and immediate postoperative variables were analyzed on Excel 2019. Results: We collected 105 patients with a mean age of 75.2±7.7 years and 61.9% of women. The average of hospitalization delay was 3.7±5.6 days. Extracapsular hip fracture represented 58.1% of patients. 92.4% of the patients had an admission-surgery delay greater than 48 hours. 52.4% of patients had a comorbidity, dominated by high blood pressure (37.4%) and diabetes (14.7%). The MET-Score had not been assessed. The class 2 of ASA classification (69.5%) and the level 1 of Lee's score (73.3%) were the most represented. Complete blood count and ECG were performed for all patients. Blood hemostasis test and Transthoracic Echography were not justified for 98.9% and 32% of patients, respectively. Perimedullar anesthesia was performed in 92.4% of patients. Continuous spinal anesthesia for 35.6% of patients. A peripheral nerve block for analgesia was performed for 11.4% of patients. 15.2% of patients suffered of an Intraoperative hypotension. One patient suffered of a total spinal anesthesia. 4.8% of patients received an intraoperative blood transfusion. The surgery lasted an average of 116.1±35.2 minutes. Postoperative pain (POP) was treated with paracetamol (100% of patients) and tramadol (66.7% of patients). 99.1% of patients were admitted to the post-intervention care room. Conclusion: The perioperative management of hip fracture in the elderly at the University Hospital Aristide Le Dantec reveals an excessive and unjustified prescription of paraclinical examinations, which delays operating time.},
 year = {2022}
}

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TY  - JOUR
T1  - Anesthesia Practice for Hip Fractures in the Elderly at University Hospital Aristide Le Dantec of Dakar, Republic of Senegal
AU  - Gilles Niengo Outsouta
AU  - Papa Ibrahima Ndiaye
AU  - Christ Mayick Mpoy Emy Monkessa
AU  - Marie Elombila
AU  - Peggy Dahlia Gallou Leyono-Mawandza
AU  - Papa Alassane Leye
AU  - Berlinda Erna Essenam Vanessa de Medeiros
AU  - Gilbert Fabrice Otiobanda
AU  - Elisabeth Diouf
Y1  - 2022/02/25
PY  - 2022
N1  - https://doi.org/10.11648/j.ijacm.20221001.11
DO  - 10.11648/j.ijacm.20221001.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 1
EP  - 7
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20221001.11
AB  - Aim: to describe the perioperative management of hip fractures in the elderly at Aristide Le Dantec University Hospital, in Dakar. Materials and Methods: It was a single-center retrospective study, over 24 months, in the surgical emergency rooms of the university hospital Aristide Le DANTEC in Dakar. We Included anyone person aged at least 65 years and over, who had undergone emergency hip surgery. The epidemiological, preoperative, intraoperative and immediate postoperative variables were analyzed on Excel 2019. Results: We collected 105 patients with a mean age of 75.2±7.7 years and 61.9% of women. The average of hospitalization delay was 3.7±5.6 days. Extracapsular hip fracture represented 58.1% of patients. 92.4% of the patients had an admission-surgery delay greater than 48 hours. 52.4% of patients had a comorbidity, dominated by high blood pressure (37.4%) and diabetes (14.7%). The MET-Score had not been assessed. The class 2 of ASA classification (69.5%) and the level 1 of Lee's score (73.3%) were the most represented. Complete blood count and ECG were performed for all patients. Blood hemostasis test and Transthoracic Echography were not justified for 98.9% and 32% of patients, respectively. Perimedullar anesthesia was performed in 92.4% of patients. Continuous spinal anesthesia for 35.6% of patients. A peripheral nerve block for analgesia was performed for 11.4% of patients. 15.2% of patients suffered of an Intraoperative hypotension. One patient suffered of a total spinal anesthesia. 4.8% of patients received an intraoperative blood transfusion. The surgery lasted an average of 116.1±35.2 minutes. Postoperative pain (POP) was treated with paracetamol (100% of patients) and tramadol (66.7% of patients). 99.1% of patients were admitted to the post-intervention care room. Conclusion: The perioperative management of hip fracture in the elderly at the University Hospital Aristide Le Dantec reveals an excessive and unjustified prescription of paraclinical examinations, which delays operating time.
VL  - 10
IS  - 1
ER  - 

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