• Subhi M Alghanem, Islam M Massad, Mahmoud M Almustafa, Luma H Al-Shwiat, Mohammad K El-Masri, Omar Q Samarah, Osama A Khalil, and Muayyad Ahmad.
• Department of Anesthesiology, Faculty of Medicine, The University of Jordan, Amman, Jordan.
• Indian J Anaesth. 2020 Jan 1; 64 (1): 18-23.

Background And AimsThe relationship between intra-operative hypotension and post-operative complications has been recently studied in non-cardiac surgery. Little is known about this relationship in traumatic hip surgery. Our study aimed to investigate this relationship.MethodsA retrospective study was conducted on patients who underwent surgical correction of traumatic hip fracture between 2010 and 2015. We reviewed the perioperative blood pressure readings and the episodes of intra-operative hypotension. Hypotension was defined as ≥30% decrease in the pre-induction systolic blood pressure sustained for ≥10 min. The relationship between intra-operative hypotension and post-operative complications was evaluated. Post-operative complications were defined as new events or diseases that required post-operative treatment for 48 h. Factors studied included type of anaesthesia, blood transfusion rate, pre-operative comorbidities and delay in surgery. We used the Statistical Package for Social Sciences (SPSS, IBM 25) to perform descriptive and non-parametric statistics.ResultsA total of 502 patients underwent various types of traumatic hip surgery during the study period. Intra-operative hypotension developed in 91 patients (18.1%) and 42 patients (8.4%) developed post-operative complications. Significantly more patients with hypotension developed post-operative complications compared to patients with stable vitals (18.7% vs. 6.1; P < 0.001). There was no statistically significant difference in the incidence of post-operative complication in patients receiving general or spinal anaesthesia. Pre-operative comorbidities had no significant relationship with post-operative complications. Intra-operative blood transfusion was related to both intra-operative hypotension and post-operative complications.ConclusionThere was an association between intra-operative hypotension and post-operative complications in patients undergoing traumatic hip surgery.Copyright: © 2020 Indian Journal of Anaesthesia.

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