Key result
Postoperative cardiac events occurred in 16 of 607 geriatric patients undergoing hip fracture surgeries, with 93.7% of these events developing in patients with a history of cardiovascular disease.
Why the study?
Perioperative cardiac events compromise surgical outcomes for geriatric patients, prompting investigation into their occurrence and impact during hip fracture surgeries.
Does pre-operative transthoracic echocardiography predict perioperative cardiac events in geriatric patients undergoing hip fracture surgeries?
Observational (n=607)
Does pre-operative transthoracic echocardiography predict perioperative cardiac events in geriatric patients undergoing hip fracture surgeries?
Pre-operative transthoracic echocardiography is recommended for geriatric patients with a history of cardiac disease undergoing hip fracture surgeries to identify those at high risk for perioperative cardiac events.
Most cardiac events clustered in patients with known disease and abnormal TTE; leaves open whether preoperative screening improves outcomes in this population.
Perioperative complications, particularly cardiac events, compromised surgical outcomes for geriatric patients. This retrospective study intended to investigate the occurrence and subsequent impact of cardiac events for geriatric patients undergoing hip fracture surgeries. We collected 607 patients undergoing hip fracture surgeries from January 2017 to December 2022 that received transthoracic echocardiography (TTE) pre-operatively to screen for cardiac abnormalities. Except for demographic characteristics, the researchers recorded fracture type, surgical method, American Society of Anesthesiologists (ASA) class, anesthesia type, perioperative cardiac events, and in-hospital mortality. Statistical analysis was performed using SPSS 22.0 statistics software. Throughout the whole course of the study, 16 postoperative cardiac events occurred. The cardiac events included ten arrhythmias, three acute myocardial infarctions, two heart failures, and one sudden death. Notably, 12 of 16 patients with cardiac events presented with abnormal findings on TTE, except 15 of them had a history of cardiac disease. This study disclosed 93.7% of cardiac events developed in patients with a history of cardiovascular disease. Among patients that experienced cardiac events, 75% of patients had abnormal echocardiographic findings. Pre-operative transthoracic echocardiography deserves a recommendation for geriatric patients with histories of cardiac diseases undergoing hip fracture surgeries to detect the risk of developing cardiac events earlier.
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Chao et al. (2023) conducted an observational in Hip fracture (n=607). History of cardiovascular disease and abnormal TTE findings was evaluated on Postoperative cardiac events. Postoperative cardiac events occurred in 16 of 607 geriatric patients undergoing hip fracture surgeries, with 93.7% of these events developing in patients with a history of cardiovascular disease.
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