Comparison of different anesthetic techniques used for geriatric patients who underwent TUR-P operation: A single-center experience

Aim: In this study, we aimed to investigate impacts that affect intensive care unit admission, mortality, and cost according to demographic and clinical parameters of patients, and different anesthetic techniques performed in patients who underwent TUR-P operation. Material and Methods: The data of 234 patients aged 60 years and older who underwent TUR-P operations were evaluated retrospectively. The patients were examined in two groups as neuraxial and general anesthesia groups. The Charison Comorbidity Index, preoperative laboratory parameters, the presence of comorbidity, preoperative intensive care requirement, operation duration were obtained from hospital records. The cost calculation was based on the length of the patient's stay in the hospital and intensive care unit. Results: According to the ASA score, no significant difference was observed between operation duration, length of hospital stay and intensive care unit stay. According to the CCI score, there was no significant difference in the operation time; however, when the patient's CCI was 3 and above 3, the duration of intensive care stay and hospital stay were significantly longer. The cost increased significantly when CO was 3 and above 3, but did not change according to the ASA score. Discussion: In our study, it was observed that the type of anesthesia did not affect the duration of surgery, the rate of entrance to the intensive care unit, the length of stay in the intensive care, length of hospital stay, mortality and the cost. However, it was observed that the duration of hospitalization and the rate of admission to the intensive care unit increased in patients with CCI 3 and above, therefore the cost was increased.