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The impact on cardiac diagnosis and mortality of focused transthoracic echocardiography in hip fracture surgery patients with increased risk of cardiac disease: A retrospective cohort study

Citation

Canty, DJ and Royse, CF and Kilpatrick, D and Bowyer, A and Royse, AG, The impact on cardiac diagnosis and mortality of focused transthoracic echocardiography in hip fracture surgery patients with increased risk of cardiac disease: A retrospective cohort study, Anaesthesia, 67, (11) pp. 1202-1209. ISSN 0003-2409 (2012) [Refereed Article]

Copyright Statement

Copyright 2012 The Association of Anaesthetists of Great Britain and Ireland

DOI: doi:10.1111/j.1365-2044.2012.07300.x

Abstract

Hip fracture surgery is associated with a high rate of mortality and morbidity; heart disease is the leading cause and is often unrecognised and inadequately treated. Pre-operative focused transthoracic echocardiography by anaesthetists frequently influences management, but mortality outcome studies have not been performed to date. Mortality over the 12 months after hip fracture surgery, in 64 patients at risk of cardiac disease who received pre-operative echocardiography, was compared with 66 randomised historical controls who did not receive echocardiography. Mortality was lower in the group that received echocardiography over the 30 days (4.7% vs 15.2%, log rank p = 0.047) and 12 months after surgery (17.1% vs 33.3%, log rank p = 0.031). Hazard of death was also reduced with pre-operative echocardiography over 12 months after adjustment for known risk factors (hazard ratio 0.41, 95% CI 0.2-0.85, p = 0.016). Pre-operative echocardiography was not associated with a delay in surgery. These data support a randomised controlled trial to confirm these findings.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
Author:Kilpatrick, D (Professor David Kilpatrick)
ID Code:83039
Year Published:2012
Web of Science® Times Cited:33
Deposited By:Medicine (Discipline)
Deposited On:2013-02-27
Last Modified:2013-05-14
Downloads:0

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