Key result
Preoperative TTE variables including increased left ventricular ejection fraction (OR 1.26; 95% CI 1.07-1.48) and arrhythmia (OR 64.99) were significant risk factors for 30-day mortality.
Why the study?
Routine echocardiography is not recommended before non-cardiac surgery, yet TTE remains widely performed, prompting an evaluation of TTE-related variables and postoperative outcomes in elderly hip fracture patients.
Observational (n=356)
No
Odds Ratio: 1.26 (95% CI 1.07–1.48)
p-value: p=<0.05
Specific TTE-derived variables, such as increased LVEF, arrhythmia, and increased LA volume, are associated with short- and medium-term postoperative mortality in geriatric patients undergoing hip fracture surgery.
May identify higher-risk elderly hip fracture patients; hypothesis-generating and should not yet change practice.
Objective: Hip fracture is a major problem for elderly patients and is expected to become more common as society ages. Transthoracic echocardiography (TTE) is still widely performed for cardiac risk assessment, while routine echocardiography is not recommended in patients undergoing non-cardiac surgery. Thus, we evaluated the relationship between TTE-related variables and postoperative outcomes in elderly patients with hip fracture. Methods: This study consisted of a single-center, retrospective medical record review including a total of 356 patients. The study population included patients 65 years of age and older who underwent TTE for preoperative assessment within 1 month before the scheduled hip fracture surgery between January 2013 and October 2016. Results: In total, 356 patients were included. Seven patients died within 30 days after surgery. Advanced age (odds ratio [OR], 1.14; 95% confidence interval [CI], 1-1.3; P< 0.05), increased left ventricular ejection fraction (OR, 1.26; 95% CI, 1.07-1.48; P< 0.05), and arrhythmia (OR, 64.99; 95% CI, 3.91-1,079.91; P< 0.05) were all significant risk factors for 30-day mortality. Increased left atrium volume was associated with 180-day mortality (OR, 1.02; 95% CI, 1-1.04; P< 0.05).
No takes yet. Share an insight, caveat, or question.
Lee et al. (2020) conducted an observational in Hip fracture (n=356). Preoperative Transthoracic Echocardiography (TTE) variables was evaluated on 30-day mortality (OR 1.26, 95% CI 1.07-1.48, p=<0.05). Preoperative TTE variables including increased left ventricular ejection fraction (OR 1.26; 95% CI 1.07-1.48) and arrhythmia (OR 64.99) were significant risk factors for 30-day mortality.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: