A retrospective analysis of the relationship between early morbidity -mortality and the type of anaesthesia and cardiac risk factors [Ortopedi̇k cerrahi̇de anestezi̇ türü ve kardi̇yak ri̇sk faktörleri̇ni̇n erken morbi̇di̇te-mortali̇te i̇le i̇li̇şki̇si̇ni̇n retrospekti̇f olarak i̇ncelenmesi̇]

Objective: the choice of anaesthesia type for patients with cardiac problems is of importance from the aspect of morbidity and mortality. using the revised goldman cardiac risk index (rgcri),we aimed to evaluate the relationship between cardiac risk factors and early morbidity and mortality and the type of anaesthesia in all elective orthopaedic surgery. method: retrospective data consisting of gender,age,asa,rgcri,type of anaesthesia and surgery,early postoperative morbidity and mortality from the archives of the department of anaesthesia and reanimation of all 1095 cases operated by the department of orthopaedics and traumatology between december 31,2006 and january 1,2008 were recorded. results: of the 1095 cases evaluated 263 (24%) had no cardiac risk and of the remaining 76% at risk,64 (5.8%) had high cardiac risk. mortality was seen in 2 patients (0.18%) of high risk who had undergone arthroplasty and orthopaedic tumour surgery. one of these had had general anaesthesia and the other had had spinal-epidural anaesthesia. an increase in rgcri was observed when age and asa increased. rgcri was seen to be highest in trauma surgery (32.8%) and arthroplasty surgery (20.3%). the most frequently occurring postoperative critical events were pain (4%) and nausea-vomiting (1.6%),and these were mostly patients to whom general anesthesia had been administered. conclusion: according to the rgcri there is a high probability of cardiac risk in knee and hip arthroplasty and trauma surgery whereas there was no relationship between anaesthesia type and mortality. pain and nausea-vomiting was more frequent in patients who had undergone general anaesthesia.