ArticleBMC anesthesiology2024
Impact of the American Society of Anesthesiologists (ASA) classification on hip fracture surgery outcomes: insights from a retrospective analysis.
Article in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Full-Body Versus Local Wipe Disinfection With Chlorhexidine Gluconate: No Difference in Surgical Site Infection After Acute Hip Fracture Surgery.International wound journal · 2026Article
- Integrated assessment of preoperative nutritional, inflammatory, and metabolic biomarkers and early outcomes in geriatric hip fracture surgery: a retrospective matched study.BMC geriatrics · 2026Article
- 'Peripheral nerve blocks vs selective spinal anesthesia in patients with femur fracture' - Uncertain evidence of superiority.Journal of anesthesia, analgesia and critical care · 2026Article
- Clinical Implications of ChatGPT-assisted Multimodal Pre-operative Assessment in Elderly Pertrochanteric Fracture Patients: An Exploratory Study.Journal of orthopaedic case reports · 2026Article
- Predictive scoring system for independent walking disability after fragility hip fracture surgery: a multicenter study.Scientific reports · 2026Observational
- Assessing the minimal invasiveness of pure single-incision da Vinci SP surgery for right-sided colon cancer: comparative analysis with the da Vinci Xi system using PSM and IPTW.Surgical endoscopy · 2026Article
- Early Mobilization Compliance as a Quality Indicator After Hip Fracture Surgery: An Observational Study.Journal of clinical medicine · 2026Article
- Development and validation of a machine learning-based model for diagnosing perioperative malnutrition in older adults with hip fracture.Frontiers in nutrition · 2026Article
- Construction and validation of a nomogram prediction model for the need for intensive care unit admission after hip fracture surgery.Medicine · 2025Observational
- Association Between Laboratory Metrics and Mortality After Major Lower Extremity Amputation in Peripheral Artery Disease Patients.Journal of clinical medicine · 2025Article
- Comparison of remimazolam tosylate and propofol in hemodynamic stability, postoperative cognitive function, and recovery in general anesthesia combined with regional nerve blocks: a retrospective cohort study.BMC anesthesiology · 2025Article
- Article
- Subcuticular suture achieves better esthetics, healing, and similar functional outcomes following unicompartmental knee arthroplasty: a single center retrospective comparative study.Frontiers in medicine · 2025Article
- Orthogeriatric Co-Management Improves Early Outcomes in Hip Fractures: A Post-Hoc Analysis of a Prospective Study.Clinical interventions in aging · 2025Article
- Supine Positioning in Primary Total Hip Replacement is Associated with a Shorter Hospital Stay Than Lateral Positioning: A Retrospective Propensity-Score Matched Cohort Study.Therapeutics and clinical risk management · 2025Article
- Development and temporal external validation of a novel nomogram for predicting one-year mortality in the older adult with hip fracture.Frontiers in medicine · 2025Article
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13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe American Society of Anesthesiologists (ASA) classification is the most used system to assess patient health status before surgery, ranging from I to V levels. This study aims to explore the impact of different ASA risk classes (ASA II [mild risk] and ASA III [severe risk]) on clinical outcomes following hip fracture surgery, including all-cause mortality and postoperative complications.
methodsA retrospective analysis from 2019 to 2021 across three Jordanian centers was conducted. The study included patients aged 65 and above who underwent hip fracture repair surgeries. Preoperative measures, intraoperative management protocols, and postoperative care were collected. Clinical data were extracted from electronic medical records, including demographics, fracture type, intraoperative data, and postoperative outcomes.
resultsThe analysis included 1033 patients, with 501 (48.5%) in the mild anesthetic risk group (ASA I-II) and 532 (51.5%) in the severe anesthetic risk group (ASA III-V). The mean age was 73 years, with a higher prevalence of males in the severe risk group. Patients in the severe risk group had more comorbidities, higher ICU admissions (15.23% vs. 6.18%), longer hospital stays (median 7 vs. 6 days), and higher rates of postoperative thromboembolic complications (3.39% vs. 1.39%) compared to the mild risk group. Additionally, the severe risk group showed higher mortality rates both in-hospital mortality (3.38% vs. 1.39%) and all-cause mortality (16.92% vs. 10.36%). Multivariate analysis identified higher ASA score as independent risk factors for increased all-cause mortality (HR = 1.64 95%CI 1.51-2.34) and thromboembolic complications (OR = 2.85 95%CI 1.16-7). Length of hospital stay was significantly associated with higher ASA score (OR = 1.04 95%CI 0.96-1.11).
conclusionThe study underscores the significant impact of anesthetic risk on the outcomes of hip fracture surgeries. Patients with higher ASA scores associated with severe systemic diseases may have at increased risk of adverse outcomes.
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