Why the study?
Surgical delays in urgent hip fracture repair were driven by reluctance to clear patients without cardiac consultation, prompting evaluation of preoperative TTE as an alternative to reduce preoperative time to under 24 hours.
Does a preoperative transthoracic echocardiogram (TTE) protocol reduce preoperative time to surgery in patients requiring urgent hip fracture repair?
Does a preoperative transthoracic echocardiogram (TTE) protocol reduce preoperative time to surgery in patients requiring urgent hip fracture repair?
A preoperative TTE protocol was recommended as a safe alternative to cardiac consultation to reduce time to hip fracture surgery.
Answers are grounded in this paper and cite their sources.
Should not yet change practice; leaves open the need for randomized trials of TTE protocols in urgent hip fracture repair.
Objective: An interdisciplinary committee was formed to identify factors contributing to surgical delays in urgent hip fracture repair at an urban, level 1 trauma center, with the goal of reducing preoperative time to less than 24 hours. Surgical optimization was identified as a primary, modifiable factor, as surgeons were reluctant to clear patients for surgery without cardiac consultation. Preoperative transthoracic echocardiogram (TTE) was recommended as a safe alternative to cardiac consultation in most patients.
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Oldach (2021) studied this question.
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