Key result
Pre-operative echocardiography linked to a ~1.6-day surgical delay in hip fracture patients with murmurs.
Why the study?
Does obtaining a pre-operative echocardiogram delay surgery or improve outcomes in hip fracture patients with a cardiac murmur?
Observational (n=69)
Computer generated randomized sample for control group
No
Does obtaining a pre-operative echocardiogram delay surgery or improve outcomes in hip fracture patients with a cardiac murmur?
Absolute Event Rate: 2.7% vs 1.1%
p-value: p=<0.001
Routine pre-operative echocardiography in hip fracture patients with cardiac murmurs significantly delays surgery without altering pre-operative cardiac management or improving 30-day mortality.
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May delay surgery; hypothesis-generating for selective use in hip fracture patients with murmurs.
Jettoo et al. (2011) conducted an observational in Hip fracture (n=69). Pre-operative echocardiogram vs. No pre-operative echocardiogram was evaluated on Delay to surgery (days) (p=<0.001). Pre-operative echocardiography in hip fracture patients with a cardiac murmur was associated with a significant delay to surgery (mean 2.7 days vs 1.1 days, p < 0.001) compared to no echocardiography.
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