Key result
Aortic stenosis was independently associated with an increase in 90-day mortality and postoperative ICU stay in patients undergoing surgical repair of a hip fracture (P=0.004).
Why the study?
Aortic stenosis is not uncommon in older adult patients with traumatic hip fracture, but its association with postoperative mortality and serious complications required investigation.
Does the presence of aortic stenosis increase 90-day mortality in patients undergoing surgical repair of a hip fracture?
Cohort
No
Does the presence of aortic stenosis increase 90-day mortality in patients undergoing surgical repair of a hip fracture?
p-value: p=0.004
Aortic stenosis is independently associated with increased 90-day mortality and postoperative ICU stay in patients undergoing surgical repair of a hip fracture.
May inform perioperative risk assessment in hip fracture patients; leaves open whether optimization improves outcomes.
OBJECTIVES: The majority of hip fracture patients in the United States are older adult patients with multiple comorbidities. Aortic stenosis (AS) in older adult patients with traumatic hip fracture is not uncommon. This study investigated the association between AS and postoperative mortality and serious complications. METHODS: In this retrospective cohort study, a chart review was performed of patients with AS who underwent hip fracture surgical repair between January 2011 and December 2019 within one health system. A control group of hip fracture patients without AS was identified and matched based on body mass index, age, sex, date of surgery and Charlson Comorbidity Index. The primary outcome of interest was 90-day mortality; secondary outcomes included 30-day postoperative complications, intensive care unit admission (ICU), and hospital length of stay. RESULTS: 0.004). CONCLUSIONS: The presence of AS was independently associated with an increase in 90-day mortality and postoperative ICU stay in patients undergoing surgical repair of a hip fracture.
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Fouda et al. (2023) conducted a cohort in Traumatic hip fracture. Aortic stenosis vs. No aortic stenosis was evaluated on 90-day mortality (p=0.004). Aortic stenosis was independently associated with an increase in 90-day mortality and postoperative ICU stay in patients undergoing surgical repair of a hip fracture (P=0.004).
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