Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction
Yıl: 2020 Cilt: 26 Sayı: 4 Sayfa Aralığı: 600 - 606 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.23946 İndeks Tarihi: 21-10-2020
Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction
Öz: BACKGROUND: To examine the influence of heart failure (HF) with preserved ejection fraction (HFPEF) and HF with mid-rangeejection fraction (HFmrEF) on perioperative cardiac and noncardiac outcomes following hip fracture surgery.METHODS: Data of elderly patients (≥ 65 years) who underwent hip fracture surgery were retrospectively analyzed in this study.Patients with a left ventricular ejection fraction (LVEF) <40% were not included in this study. The definition of preoperative HFPEF(LVEF ≥50%) and HFmrEF (LVEF 40%–49%) was based on clinical documentation of HF in patients’ medical records before surgery.The primary outcomes of this study were perioperative adverse events and mortality. The secondary outcome of interest was thelength of stay in the hospital.RESULTS: A total of 328 patients (mean age 79.2±8.7 years, and 57.3% female) were enrolled. Of the study population, 250 (76.2%)patients had no HF, 50 (15.2%) patients had HFPEF, and 28 (8.6%) patients had HFmrEF before surgery. The frequency of perioperativecardiovascular and non-cardiovascular complications was similar to a rate of 7.0%. The mean length of hospital stay was 8.1±5.8 days,and the in-hospital mortality rate was 4.6%. Patients with HFPEF and HFmrEF had a longer length of stay and were more likely toexperience perioperative complications and death than the patients without HF. Multivariate analyses showed that the presence ofHFPEF and HFmrEF were both associated with increased rates of perioperative complications and mortality.CONCLUSION: Our findings suggest that the presence of HFPEF and HFmrEF may predict perioperative adverse events and mortalityin elderly patients undergoing hip fracture surgery.
Anahtar Kelime: Korunmuş ejeksiyon fraksiyonu ile kalp yetersizlikli ve sınırda ejeksiyon fraksiyonu ile kalp yetersizlikli yaşlı hastalarda kalça kırığı cerrahisi sonrası perioperatif sonuçlar
Öz: AMAÇ: Korunmuş ejeksiyon fraksiyonu (KEF-KY) ile kalp yetersizliğinin (KY) ve sınırda ejeksiyon fraksiyonu (SEF-KY) ile KY’nin kalça kırığı cerrahisini takiben perioperatif kardiyak ve kardiyak olmayan sonuçlar üzerindeki etkisini incelemek. GEREÇ VE YÖNTEM: Kalça kırığı ameliyatı geçiren yaşlı hastaların (≥65 yaş) verileri geriye dönük olarak incelendi. Sol ventrikül ejeksiyon fraksiyonu (SVEF) <%40 olan hastalar çalışmaya dahil edilmedi. Ameliyat öncesi KEF-KY (SVEF ≥%50) ve SEF-KY (SVEF %40–49) tanımı, hastaların ameliyat öncesi tıbbi kayıtlarında KY’nin klinik dokümantasyonuna dayanmaktadır. Çalışmanın birincil sonuçları perioperatif olumsuz olaylar ve mortaliteydi. İlgilenilen ikincil sonuç hastanede kalış süresiydi. BULGULAR: Toplam 328 hasta (ort. yaş 79.2±8.7 yıl ve %57.3 kadın) çalışmaya dahil edildi. Çalışma popülasyonunun 250’sinde (%76.2) KY yoktu, 50’sinde (%15.2) KEF-KY ve 28’inde (% 8.6) SEF-KY vardı. Perioperatif kardiyovasküler ve kardiyovasküler olmayan komplikasyonların sıklığı %7.0 ile benzerdi. Ortalama hastanede kalış süresi 8.1±5.8 gündü ve hastane içi mortalite oranı %4.6 idi. KEF-KY ve SEF-KY hastalarının kalış süresi daha uzundu ve KY olmayan hastalara göre perioperatif komplikasyon ve ölüm yaşama olasılığı daha yüksekti. Çok değişkenli analizler, KEF-KY ve SEF-KY varlığının her ikisinin de artmış perioperatif komplikasyonlar ve mortalite ile ilişkili olduğunu göstermiştir. TARTIŞMA: Çalışmamız, KEF-KY ve SEF-KY varlığının kalça kırığı ameliyatı geçiren yaşlı hastalarda perioperatif olumsuz olayları ve mortaliteyi tahmin edebileceğini göstermiştir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Açan A, ÖZLEK B, kilinc c, BİTEKER M, Aydogan N (2020). Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. , 600 - 606. 10.14744/tjtes.2020.23946 |
| Chicago | Açan Ahmet Emrah,ÖZLEK BÜLENT,kilinc cem yalin,BİTEKER MURAT,Aydogan Nevres Hurriyet Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. (2020): 600 - 606. 10.14744/tjtes.2020.23946 |
| MLA | Açan Ahmet Emrah,ÖZLEK BÜLENT,kilinc cem yalin,BİTEKER MURAT,Aydogan Nevres Hurriyet Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. , 2020, ss.600 - 606. 10.14744/tjtes.2020.23946 |
| AMA | Açan A,ÖZLEK B,kilinc c,BİTEKER M,Aydogan N Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. . 2020; 600 - 606. 10.14744/tjtes.2020.23946 |
| Vancouver | Açan A,ÖZLEK B,kilinc c,BİTEKER M,Aydogan N Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. . 2020; 600 - 606. 10.14744/tjtes.2020.23946 |
| IEEE | Açan A,ÖZLEK B,kilinc c,BİTEKER M,Aydogan N "Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction." , ss.600 - 606, 2020. 10.14744/tjtes.2020.23946 |
| ISNAD | Açan, Ahmet Emrah vd. "Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction". (2020), 600-606. https://doi.org/10.14744/tjtes.2020.23946 |
| APA | Açan A, ÖZLEK B, kilinc c, BİTEKER M, Aydogan N (2020). Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. Ulusal Travma ve Acil Cerrahi Dergisi, 26(4), 600 - 606. 10.14744/tjtes.2020.23946 |
| Chicago | Açan Ahmet Emrah,ÖZLEK BÜLENT,kilinc cem yalin,BİTEKER MURAT,Aydogan Nevres Hurriyet Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.4 (2020): 600 - 606. 10.14744/tjtes.2020.23946 |
| MLA | Açan Ahmet Emrah,ÖZLEK BÜLENT,kilinc cem yalin,BİTEKER MURAT,Aydogan Nevres Hurriyet Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.4, 2020, ss.600 - 606. 10.14744/tjtes.2020.23946 |
| AMA | Açan A,ÖZLEK B,kilinc c,BİTEKER M,Aydogan N Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(4): 600 - 606. 10.14744/tjtes.2020.23946 |
| Vancouver | Açan A,ÖZLEK B,kilinc c,BİTEKER M,Aydogan N Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(4): 600 - 606. 10.14744/tjtes.2020.23946 |
| IEEE | Açan A,ÖZLEK B,kilinc c,BİTEKER M,Aydogan N "Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.600 - 606, 2020. 10.14744/tjtes.2020.23946 |
| ISNAD | Açan, Ahmet Emrah vd. "Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction". Ulusal Travma ve Acil Cerrahi Dergisi 26/4 (2020), 600-606. https://doi.org/10.14744/tjtes.2020.23946 |
