ArticleInternational orthopaedics2016
Risk factors for adverse cardiac events in hip fracture patients: an analysis of NSQIP data.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Article
- Exploring mortality risk factors and specific causes of death within 30 days after hip fracture hospitalization.Scientific reports · 2024Article
- Stressors and coping strategies in older people hospitalised for hip surgery following a fall: a multiple case study.BMC nursing · 2024Article
- Shape phenotype of thigh fat and muscle and risk of major adverse cardiovascular events after fragility hip fracture.Journal of cachexia, sarcopenia and muscle · 2024Article
- Brain Natriuretic Peptide levels on hospital admission are a useful predictor of cardiac complications and mortality in geriatric patients with proximal femur fractures.Journal of orthopaedics · 2023Article
- Development and Internal Validation of a Nomogram for Predicting Postoperative Cardiac Events in Elderly Hip Fracture Patients.Clinical interventions in aging · 2023Article
- Predictors and prognostic impact of post-operative atrial fibrillation in patients with hip fracture surgery.World journal of clinical cases · 2022Article
- Postoperative Pneumonia in Geriatric Patients With a Hip Fracture: Incidence, Risk Factors and a Predictive Nomogram.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Article
- Fracture shortly before stroke in mice leads to hippocampus inflammation and long-lasting memory dysfunction.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020Article
- Postoperative mortality after a hip fracture over a 15-year period in Denmark: a national register study.Acta orthopaedica · 2020Article
- Cardiac overscreening hip fracture patients.Archives of orthopaedic and trauma surgery · 2020Article
- Difference in Mortality Rate by Type of Anticoagulant in Elderly Patients with Cardiovascular Disease after Hip Fractures.Clinics in orthopedic surgery · 2019Article
- Death and Postoperative Complications After Hip Fracture Repair: Dialysis Effect.Kidney international reports · 2018Article
- Correction of hypovitaminosis D improved global longitudinal strain earlier than left ventricular ejection fraction in cardiovascular older adults after orthopaedic surgery.Journal of geriatric cardiology : JGC · 2018Article
- Impact of Bone Fracture on Ischemic Stroke Recovery.International journal of molecular sciences · 2018Review
- Association between preoperative high sensitive troponin I levels and cardiovascular events after hip fracture surgery in the elderly.Journal of geriatric cardiology : JGC · 2018Article
- The Role of BMI in Hip Fracture Surgery.Geriatric orthopaedic surgery & rehabilitation · 2018Article
- Risk and outcomes of fracture in peripheral arterial disease patients: two nationwide cohort studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Article
- Early surgery increases mitochondrial DNA release and lung injury in a model of elderly hip fracture and chronic obstructive pulmonary disease.Experimental and therapeutic medicine · 2017Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCardiovascular complications constitute morbidity and mortality for hip fracture patients. Relatively little data exist exploring risk factors for post-operative complications. Using the American College of Surgeons National Surgical Quality Improvement (ACS-NSQIP) database, we identified significant risk factors associated with adverse cardiac events in hip fracture patients and provide recommendations for practising orthopaedists.
methodsA cohort of 27,441 patients with hip fractures from 2006 to 2013 was identified using Current Procedural Terminology codes. Cardiac complications were defined as cardiac arrests or myocardial infarctions occurring within 30 days after surgery. Bivariate analysis was run on over 30 patient and surgical factors to determine significant associations with cardiac events. Multivariate logistical analysis was then performed to determine risk factors most predictive for cardiac events.
resultsOf the 27,441 hip fracture patients, 594 (2.2%) had cardiac complications within 30 days post-operatively. There was no significant association with respect to type of hip fracture surgery and adverse cardiac event rates (p = 0.545). After multivariate analysis, dialysis use (OR: 2.22, p = 0.026), and histories of peripheral vascular disease (OR: 2.11, p = 0.016), stroke (OR: 1.83, p = 0.009), COPD (OR: 1.69, p = 0.014), and cardiac disease (OR: 1.55, p = 0.017) were significantly predictive of post-operative cardiac events in all hip fracture patients.
conclusionOrthopaedic trauma surgeons should be aware of cardiac disease history and atherosclerotic conditions (PVD, stroke) in risk stratifying patients to prevent cardiac complications. Our recommendations to reduce cardiac events include simple pre-operative lab-work to full-fledged cardiac work-up and referrals to specific medicine disciplines based on the specific risk factors present.
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