ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. 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, 31 citations in OpenAlex.
- Postoperative sarcopenia in older patients with hip fractures: incidence and associated risk factors in a retrospective cohort study.Frontiers in medicine · 2026Article
- The revised cardiac risk index and 90-day mortality after non-cardiac surgery: a retrospective cohort study.Frontiers in cardiovascular medicine · 2026Article
- Risk factors for and prognosis of postoperative cardiac events in older patients with hip fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Cardiac risk stratification and adverse outcomes in surgically managed patients with isolated traumatic spine injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Prioritizing patients for hip fracture surgery: the role of frailty and cardiac risk.Frontiers in surgery · 2024Article
- Validation of the orthopedic frailty score for measuring frailty in hip fracture patients: a cohort study based on the United States National inpatient sample.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- A nationwide analysis on the interaction between frailty and beta-blocker therapy in hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Patterns of Surgical Risk Assessment at a Tertiary Academic Medical Center.The Brown journal of hospital medicine · 2023Article
- Mortality risk stratification in isolated severe traumatic brain injury using the revised cardiac risk index.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Dementia is a surrogate for frailty in hip fracture mortality prediction.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The mortality burden in patients with hip fractures and dementia.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- β-Adrenergic blockade in patients with dementia and hip fracture is associated with decreased postoperative mortality.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Mode of anesthesia is not associated with outcomes following emergency hip fracture surgery: a population-level cohort study.Trauma surgery & acute care open · 2022Article
- Pre-Operative Medications as a Predictor for Post-Operative Complications Following Geriatric Hip Fracture Surgery.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- The interaction between pre-admission β-blocker therapy, the Revised Cardiac Risk Index, and mortality in geriatric hip fracture patients.The journal of trauma and acute care surgery · 2022Article
- Developing and validating a scoring system for measuring frailty in patients with hip fracture: a novel model for predicting short-term postoperative mortality.Trauma surgery & acute care open · 2022Article
- Beta-Blocker Therapy Is Associated With Increased 1-Year Survival After Hip Fracture Surgery: A Retrospective Cohort Study.Anesthesia and analgesia · 2021Observational
- A Case-Control Study of Hip Fracture Surgery Timing and Mortality at an Academic Hospital: Day Surgery May Be Safer than Night Surgery.Journal of clinical medicine · 2021Article
- Predicting 1-Year Mortality after Hip Fracture Surgery: An Evaluation of Multiple Machine Learning Approaches.Journal of personalized medicine · 2021Article
- Predictive Values of Preoperative Characteristics for 30-Day Mortality in Traumatic Hip Fracture Patients.Journal of personalized medicine · 2021Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe post-operative mortality after hip fracture surgery is high and has remained largely unchanged during the last decades. The Revised Cardiac Risk Index (RCRI) is a tool used to evaluate the 30-day risk of, among other outcomes, post-operative mortality. The aim of this study is to determine the association between the RCRI score and post-operative mortality in patients undergoing hip fracture surgery.
methodsData was obtained from the national hip fracture register which was cross-referenced with patients' electronic hospital records. All adults who underwent primary emergency hip fracture surgery in Orebro County, Sweden, between January 1, 2013 and December 31, 2017, were included. Patients were divided into two cohorts: low RCRI (score = 0-1) and high RCRI (score ≥ 2). A Poisson regression model was employed to investigate the association between a high RCRI score and 30- and 90-day post-operative mortality.
resultsA total of 2443 patients, of whom 446 (18%) had a high RCRI score, were included in the current study. When adjusting for age, sex, comorbidities and type of surgery, the incidence of 30-day mortality increased by 46% in the high RCRI cohort (adj. IRR 1.46, 95% CI, 1.10-1.94, p = 0.010). Similar results were observed for 90-day mortality (adj. IRR 1.50, 95% CI, 1.21-1.84, p < 0.001).
conclusionThe RCRI is applicable to patients that undergo surgery for traumatic hip fractures. A high RCRI score is associated with an increased incidence of both 30- and 90-day post-operative mortality. Future studies to evaluate these findings are needed.
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