Evidence map›Paper›PMID 31041543›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Surgical complications associated with congestive heart failure in elderly patients following primary hip hemiarthroplasty for femoral neck fractures.

Ryan Lee, Danny Lee, Nikhil B Gowda, William V Probasco, George Ibrahim, David P Falk, Rajeev Pandarinath

Abstract read
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In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Postoperative outcomes linked to congestive heart failure in arthroscopic rotator cuff repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  5. Postoperative complications associated with congestive heart failure in aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Modes of failure of hip hemiarthroplasty for femoral neck fracture.Canadian journal of surgery. Journal canadien de chirurgie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ryan LeeThe George Washington University School of Medicine and Health Sciences, The George Washington University, 2300 I St NW, Washington, DC, 20052, USA.
Danny LeeThe George Washington University School of Medicine and Health Sciences, The George Washington University, 2300 I St NW, Washington, DC, 20052, USA.ORCID http://orcid.org/0000-0002-2579-1529
Nikhil B GowdaThe George Washington University School of Medicine and Health Sciences, The George Washington University, 2300 I St NW, Washington, DC, 20052, USA.
William V ProbascoDepartment of Orthopaedic Surgery, The George Washington University, 2300 M Street NW, Washington, DC, 20037, USA.
George IbrahimDepartment of Orthopaedic Surgery, The George Washington University, 2300 M Street NW, Washington, DC, 20037, USA.
David P FalkDepartment of Orthopaedic Surgery, Hospital of the University of Pennsylvania, 3737 Market Street, Philadelphia, PA, 19104, USA.
Rajeev PandarinathDepartment of Orthopaedic Surgery, The George Washington University, 2300 M Street NW, Washington, DC, 20037, USA. rpandarinath@mfa.gwu.edu.
George Washington University · USGeorge Washington University Hospital · USHospital of the University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough there are reports of the impact of congestive heart failure (CHF) on total knee arthroplasty and total hip arthroplasty, there is a lack of literature analyzing CHF in hip hemiarthroplasty (HHA) procedures. The main objective of this study was to evaluate the effect of CHF on risks for complications following HHA for the treatment of FNF.

methodsThe ACS-NSQIP database was queried for all patients who had undergone HHA from 2005 to 2016. Patients were propensity-matched without replacement in a 1:1 manner based on age and gender. Pearson's Chi squared tests and Fischer's exact tests were utilized to compare differences in demographics, comorbidities, and complication rates. Multivariate logistic regression analyses were used to assess the impact of CHF as an independent risk factor for postoperative complications.

resultsA propensity-matched cohort of 537 (4.24%) non-CHF patients was generated in order to analyze differences between the two cohorts. CHF was found to be a significant independent risk factor for pneumonia (p = 0.003), progressive renal insufficiency (p = 0.040), myocardial infarctions (p = 0.050), extended length of stay (≥ 5 days) (p < 0.001), and mortality (p < 0.001).

conclusionThis study has established CHF as an independent risk factor for various postoperative complications following HHA for the treatment of FNF. Although orthopedic surgeons may decline to perform elective procedures on CHF patients, FNFs require urgent surgical intervention. Therefore, it is important to be aware of various increased risks of certain complications in this subset patient population.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesPostoperative ComplicationsAgedDatabases, FactualFemaleHeart FailureHemiarthroplastyHumansLength of StayMaleMortalityOutcome Assessment, Health CareRisk AssessmentRisk FactorsComplicationsCongestive heart failureHip hemiarthroplastyMortalityPneumonia

Identifiers

PMID31041543
OpenAlexW2943011350

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.