Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients

KOCAOGLU, Merve H.; Başarır, Kerem; KALEM, Mahmut; ŞAHİN, Ercan; Kocaoğlu, Hakan; KINIK, HÜSEYİN HAKAN

Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients

Mahmut KALEM, (Ankara University Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey)

HAKAN KOCAOĞLU, (Ankara University Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey)

Ercan ŞAHİN, (Bulent Ecevit University Faculty of Medicine, Department of Orthopedics and Traumatology, Zonguldak, Turkey)

Merve H. KOCAOGLU, (Ankara University Faculty of Medicine, Department of Anesthesiology and Reanimation, Ankara, Turkey)

Kerem BAŞARIR, (Ankara University Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey)

HÜSEYİN HAKAN KINIK (Ankara University Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey)

Acta Orthopaedica et Traumatologica Turcica

4 0

Yıl: 2018 Cilt: 52 Sayı: 2 Sayfa Aralığı: 97 - 100 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients

Öz:

Objective: The aim of this study was to analyze the effects of preoperative echocardiography on patientsurvival, timing of surgery in length of hospital stay in patients who will undergo hip nailing for anintertrochanteric fracture.Methods: The clinical records of the patients who were admitted to a tertiary university hospital with anintertrochanteric femur fracture were retrospectively analyzed. The age, gender, American Society ofAnesthesiologists (ASA) score, days to surgery, total hospital stay, cardiac drug prescription/modiŞcation,cardiac intervention and presence of an echocardiography assessment including detailedŞndings werereviewed. Mortality data were accessed from the national civil registration system.Results: 181 (110 women and 71 men; mean age 81 (44e98)) cases were studied whom 65 underwentpre-operative echocardiography. Time to surgery and total hospital stay was 2 days longer at transthoracic echocardiography (TTE) group (p< 0.001). At one month control group survival rate was 93.1%on contrary it was 75.4% at TTE group. One-year survival rates were 77.3% and 55.1% respectively.Likewise mean expected survival time was 21.6± 1.03 months for control group and 15.12 ± 1.64 monthsfor TTE group (p< 0.001). Only increased left ventricular end diastolic diameter (LVEDD) was showed tobe associated with increasing one-year mortality with a hazard ratio of 10.78 (2.572e45.19) at multivariate model.Conclusion: CardiacŞndings and requisite for preoperative TTE and increased LVEDD is a strong predictorfor mortality. TTE signiŞcantly lengthens the time to surgery. Also LVEDD measurement can be easilyperformed in the bedside which we believe would save time and reduce mortality.Level of evidence: Level III Diagnostic study.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	KALEM M, Kocaoğlu H, ŞAHİN E, KOCAOGLU M, Başarır K, KINIK H (2018). Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. , 97 - 100.
Chicago	KALEM Mahmut,Kocaoğlu Hakan,ŞAHİN Ercan,KOCAOGLU Merve H.,Başarır Kerem,KINIK HÜSEYİN HAKAN Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. (2018): 97 - 100.
MLA	KALEM Mahmut,Kocaoğlu Hakan,ŞAHİN Ercan,KOCAOGLU Merve H.,Başarır Kerem,KINIK HÜSEYİN HAKAN Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. , 2018, ss.97 - 100.
AMA	KALEM M,Kocaoğlu H,ŞAHİN E,KOCAOGLU M,Başarır K,KINIK H Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. . 2018; 97 - 100.
Vancouver	KALEM M,Kocaoğlu H,ŞAHİN E,KOCAOGLU M,Başarır K,KINIK H Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. . 2018; 97 - 100.
IEEE	KALEM M,Kocaoğlu H,ŞAHİN E,KOCAOGLU M,Başarır K,KINIK H "Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients." , ss.97 - 100, 2018.
ISNAD	KALEM, Mahmut vd. "Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients". (2018), 97-100.

APA	KALEM M, Kocaoğlu H, ŞAHİN E, KOCAOGLU M, Başarır K, KINIK H (2018). Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. Acta Orthopaedica et Traumatologica Turcica, 52(2), 97 - 100.
Chicago	KALEM Mahmut,Kocaoğlu Hakan,ŞAHİN Ercan,KOCAOGLU Merve H.,Başarır Kerem,KINIK HÜSEYİN HAKAN Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. Acta Orthopaedica et Traumatologica Turcica 52, no.2 (2018): 97 - 100.
MLA	KALEM Mahmut,Kocaoğlu Hakan,ŞAHİN Ercan,KOCAOGLU Merve H.,Başarır Kerem,KINIK HÜSEYİN HAKAN Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. Acta Orthopaedica et Traumatologica Turcica, vol.52, no.2, 2018, ss.97 - 100.
AMA	KALEM M,Kocaoğlu H,ŞAHİN E,KOCAOGLU M,Başarır K,KINIK H Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. Acta Orthopaedica et Traumatologica Turcica. 2018; 52(2): 97 - 100.
Vancouver	KALEM M,Kocaoğlu H,ŞAHİN E,KOCAOGLU M,Başarır K,KINIK H Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients. Acta Orthopaedica et Traumatologica Turcica. 2018; 52(2): 97 - 100.
IEEE	KALEM M,Kocaoğlu H,ŞAHİN E,KOCAOGLU M,Başarır K,KINIK H "Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients." Acta Orthopaedica et Traumatologica Turcica, 52, ss.97 - 100, 2018.
ISNAD	KALEM, Mahmut vd. "Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients". Acta Orthopaedica et Traumatologica Turcica 52/2 (2018), 97-100.