Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries
Perioperative complications, particularly cardiac events, compromised surgical outcomes for geriatric patients. This retrospective study intended to investigate the occurrence and subsequent impact of cardiac events for geriatric patients undergoing hip fracture surgeries. We collected 607 patients...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/16/5276 |
| _version_ | 1797584373299544064 |
|---|---|
| author | Ting-Cheng Chao Hsin-Pai Lee Jung-Chou Wu Chien-Jen Hsu |
| author_facet | Ting-Cheng Chao Hsin-Pai Lee Jung-Chou Wu Chien-Jen Hsu |
| author_sort | Ting-Cheng Chao |
| collection | DOAJ |
| description | Perioperative complications, particularly cardiac events, compromised surgical outcomes for geriatric patients. This retrospective study intended to investigate the occurrence and subsequent impact of cardiac events for geriatric patients undergoing hip fracture surgeries. We collected 607 patients undergoing hip fracture surgeries from January 2017 to December 2022 that received transthoracic echocardiography (TTE) pre-operatively to screen for cardiac abnormalities. Except for demographic characteristics, the researchers recorded fracture type, surgical method, American Society of Anesthesiologists (ASA) class, anesthesia type, perioperative cardiac events, and in-hospital mortality. Statistical analysis was performed using SPSS 22.0 statistics software. Throughout the whole course of the study, 16 postoperative cardiac events occurred. The cardiac events included ten arrhythmias, three acute myocardial infarctions, two heart failures, and one sudden death. Notably, 12 of 16 patients with cardiac events presented with abnormal findings on TTE, except 15 of them had a history of cardiac disease. This study disclosed 93.7% of cardiac events developed in patients with a history of cardiovascular disease. Among patients that experienced cardiac events, 75% of patients had abnormal echocardiographic findings. Pre-operative transthoracic echocardiography deserves a recommendation for geriatric patients with histories of cardiac diseases undergoing hip fracture surgeries to detect the risk of developing cardiac events earlier. |
| first_indexed | 2024-03-10T23:51:00Z |
| format | Article |
| id | doaj.art-f0fe08143bd14871968deca093ab8a2f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:51:00Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f0fe08143bd14871968deca093ab8a2f2023-11-19T01:40:44ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011216527610.3390/jcm12165276Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture SurgeriesTing-Cheng Chao0Hsin-Pai Lee1Jung-Chou Wu2Chien-Jen Hsu3Department of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung 81362, TaiwanDepartment of Orthopaedic Surgery, Ping-Tung Christian Hospital, Pingtung 90059, TaiwanDepartment of Orthopaedic Surgery, Ping-Tung Christian Hospital, Pingtung 90059, TaiwanDepartment of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung 81362, TaiwanPerioperative complications, particularly cardiac events, compromised surgical outcomes for geriatric patients. This retrospective study intended to investigate the occurrence and subsequent impact of cardiac events for geriatric patients undergoing hip fracture surgeries. We collected 607 patients undergoing hip fracture surgeries from January 2017 to December 2022 that received transthoracic echocardiography (TTE) pre-operatively to screen for cardiac abnormalities. Except for demographic characteristics, the researchers recorded fracture type, surgical method, American Society of Anesthesiologists (ASA) class, anesthesia type, perioperative cardiac events, and in-hospital mortality. Statistical analysis was performed using SPSS 22.0 statistics software. Throughout the whole course of the study, 16 postoperative cardiac events occurred. The cardiac events included ten arrhythmias, three acute myocardial infarctions, two heart failures, and one sudden death. Notably, 12 of 16 patients with cardiac events presented with abnormal findings on TTE, except 15 of them had a history of cardiac disease. This study disclosed 93.7% of cardiac events developed in patients with a history of cardiovascular disease. Among patients that experienced cardiac events, 75% of patients had abnormal echocardiographic findings. Pre-operative transthoracic echocardiography deserves a recommendation for geriatric patients with histories of cardiac diseases undergoing hip fracture surgeries to detect the risk of developing cardiac events earlier.https://www.mdpi.com/2077-0383/12/16/5276hip fracturecardiac eventechocardiographyin-hospital mortality |
| spellingShingle | Ting-Cheng Chao Hsin-Pai Lee Jung-Chou Wu Chien-Jen Hsu Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries Journal of Clinical Medicine hip fracture cardiac event echocardiography in-hospital mortality |
| title | Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries |
| title_full | Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries |
| title_fullStr | Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries |
| title_full_unstemmed | Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries |
| title_short | Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries |
| title_sort | analysis of cardiac events and the subsequent impact for geriatric patients undergoing hip fracture surgeries |
| topic | hip fracture cardiac event echocardiography in-hospital mortality |
| url | https://www.mdpi.com/2077-0383/12/16/5276 |
| work_keys_str_mv | AT tingchengchao analysisofcardiaceventsandthesubsequentimpactforgeriatricpatientsundergoinghipfracturesurgeries AT hsinpailee analysisofcardiaceventsandthesubsequentimpactforgeriatricpatientsundergoinghipfracturesurgeries AT jungchouwu analysisofcardiaceventsandthesubsequentimpactforgeriatricpatientsundergoinghipfracturesurgeries AT chienjenhsu analysisofcardiaceventsandthesubsequentimpactforgeriatricpatientsundergoinghipfracturesurgeries |