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Anesthesia Practice for Hip Fractures in the Elderly at University Hospital Aristide Le Dantec of Dakar, Republic of Senegal

Received: 22 January 2022     Accepted: 11 February 2022     Published: 25 February 2022
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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.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 10, Issue 1)
DOI 10.11648/j.ijacm.20221001.11
Page(s) 1-7
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Anesthesia, Hip Fracture, Elderly, Dakar

References
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    Gilles Niengo Outsouta, Papa Ibrahima Ndiaye, Christ Mayick Mpoy Emy Monkessa, Marie Elombila, Peggy Dahlia Gallou Leyono-Mawandza, et al. (2022). Anesthesia Practice for Hip Fractures in the Elderly at University Hospital Aristide Le Dantec of Dakar, Republic of Senegal. International Journal of Anesthesia and Clinical Medicine, 10(1), 1-7. https://doi.org/10.11648/j.ijacm.20221001.11

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    Gilles Niengo Outsouta; Papa Ibrahima Ndiaye; Christ Mayick Mpoy Emy Monkessa; Marie Elombila; Peggy Dahlia Gallou Leyono-Mawandza, et al. Anesthesia Practice for Hip Fractures in the Elderly at University Hospital Aristide Le Dantec of Dakar, Republic of Senegal. Int. J. Anesth. Clin. Med. 2022, 10(1), 1-7. doi: 10.11648/j.ijacm.20221001.11

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    AMA Style

    Gilles Niengo Outsouta, Papa Ibrahima Ndiaye, Christ Mayick Mpoy Emy Monkessa, Marie Elombila, Peggy Dahlia Gallou Leyono-Mawandza, et al. Anesthesia Practice for Hip Fractures in the Elderly at University Hospital Aristide Le Dantec of Dakar, Republic of Senegal. Int J Anesth Clin Med. 2022;10(1):1-7. doi: 10.11648/j.ijacm.20221001.11

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  • @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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Author Information
  • Resident in Anesthesia and Critical Care Medicine, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Otondoto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Resident in Anesthesia and Critical Care Medicine, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Faculty of Medicine, Pharmacy and Otondoto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Resident in Anesthesia and Critical Care Medicine, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Polyvalent Intensive Care Unit, University Hospital of Brazzaville, Brazzaville, Republic of Congo

  • Faculty of Medicine, Pharmacy and Otondoto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

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