{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T05:31:54Z","timestamp":1772256714935,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T00:00:00Z","timestamp":1639785600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Healthcare Engineering"],"published-print":{"date-parts":[[2021,12,18]]},"abstract":"<jats:p>Background. General anesthesia is an important factor leading to postoperative complications, and cerebrovascular accidents take the first place in the causes of postoperative death. Therefore, it is extremely important to explore the correlation between general anesthesia and the occurrence of cerebrovascular accidents in hip fracture patients. Objective. To explore the association between general anesthesia and the occurrence of cerebrovascular accidents in hip fracture patients. Methods. The data of 240 hip fracture patients treated in our hospital from February 2017 to February 2021 were retrospectively analyzed, and the patients were divided into the general anesthesia group (n\u2009=\u2009120) and nongeneral anesthesia group (n\u2009=\u2009120) according to whether or not they received general anesthesia, so as to compare their incidence rate of cerebrovascular accidents between the two groups, record their hemodynamic changes, and analyze the association between various risk factors under general anesthesia and the occurrence of cerebrovascular accidents. Results. No statistical differences in patients\u2019 general information such as age and gender between the two groups were observed (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                     <\/a:math>\n                  <\/jats:inline-formula>\u2009&gt;\u20090.05); compared with the nongeneral anesthesia group, the incidence rate of cerebrovascular accidents was significantly higher in the general anesthesia group (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                     <\/c:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001); between the two groups, the heart rates and mean arterial pressure (MAP) at 15\u2009min after anesthesia, at the time of skin incision, and 15\u2009min before the end of surgery were significantly different (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                     <\/e:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.05); according to the multiple logistic regression analysis, general anesthesia was a risk factor affecting the occurrence of cerebrovascular accidents in hip fracture patients, and under general anesthesia, age\u2009\u226580 years, BMI\u2009\u226523\u2009kg\/m2, types of anesthetic drugs\u2009\u22654, intraoperative blood pressure\u2009\u2265140\u2009mmHg, and intraoperative heart rate\u2009\u226580\u2009bpm were also regarded as the risk factors. Conclusion. General anesthesia is a risk factor affecting the occurrence of cerebrovascular accidents in hip fracture patients, and under general anesthesia, age\u2009\u226580 years, BMI\u2009\u226523\u2009kg\/m2, types of anesthetic drugs\u2009\u22654, intraoperative blood pressure\u2009\u2265140\u2009mmHg, and intraoperative heart rate\u2009\u226580\u2009bpm will further increase the possibility of cerebrovascular accidents.<\/jats:p>","DOI":"10.1155\/2021\/7271136","type":"journal-article","created":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T20:05:16Z","timestamp":1639857916000},"page":"1-7","source":"Crossref","is-referenced-by-count":6,"title":["Association between General Anesthesia and the Occurrence of Cerebrovascular Accidents in Hip Fracture Patients"],"prefix":"10.1155","volume":"2021","author":[{"given":"Hu","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Emergency Surgery, The Fifth People\u2019s Hospital of Jinan, Jinan 250022, Shandong Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1754-8323","authenticated-orcid":true,"given":"Lingyan","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pingyi County People\u2019s Hospital, Linyi 273300, Shandong Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2018.07.001"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.5799\/jcei.343194"},{"issue":"4","key":"3","first-page":"226","article-title":"Is spinal anesthesia with low dose lidocaine better than sevoflorane anesthesia in patients undergoing hip fracture surgery","volume":"5","author":"M. Haghighi","year":"2017","journal-title":"The archives of bone and joint surgery"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1186\/s13741-021-00201-8"},{"key":"5","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1186\/s12891-021-04888-0","article-title":"Comparison of the clinical efficacy of a femoral neck system versus cannulated screws in the treatment of femoral neck fracture in young adults","volume":"22","author":"C. J. He","year":"2021","journal-title":"BMC Musculoskeletal Disorders"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2021.1970302"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.29.bjo-2021-0079.r1"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/jhq.0000000000000288"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/corr.0000000000001961"},{"key":"10","first-page":"767","article-title":"Traumatic asymmetrical bilateral hip dislocation: a rare case report","volume":"32","author":"W. C. 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Pharmacological venous thromboembolism prophylaxis","volume":"33","author":"T. Satit","year":"2021","journal-title":"Knee surgery & related research"},{"key":"16","first-page":"1007","article-title":"Analysis of correlation factors of hyponatremia in elderly patients with hip fracture during perioperative period","volume":"59","author":"X. W. Wang","year":"2021","journal-title":"Zhonghua Wai Ke Za Zhi"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10163538"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.3390\/jpm11080727"},{"key":"19","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1186\/s13018-021-02774-y","article-title":"Development of a prognostic model for 1-year survival after fragile hip fracture in Chinese","volume":"16","author":"H. R. Fu","year":"2021","journal-title":"Journal of Orthopaedic Surgery and Research"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.08.007"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14255"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.01.032"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.02.004"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.4097\/kja.20519"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000026156"}],"container-title":["Journal of Healthcare Engineering"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jhe\/2021\/7271136.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jhe\/2021\/7271136.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jhe\/2021\/7271136.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T20:05:23Z","timestamp":1639857923000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jhe\/2021\/7271136\/"}},"subtitle":[],"editor":[{"given":"Kalidoss","family":"Rajakani","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,12,18]]},"references-count":25,"alternative-id":["7271136","7271136"],"URL":"https:\/\/doi.org\/10.1155\/2021\/7271136","relation":{},"ISSN":["2040-2309","2040-2295"],"issn-type":[{"value":"2040-2309","type":"electronic"},{"value":"2040-2295","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12,18]]}}}