Preoperative echocardiography for patients with hip fractures undergoing surgery in a low-resource setting: Asset or obstacle?

被引：0
作者：
Mencia, Marlon M. [1 ,2 ]
Skeete, Rondell [2 ]
Hernandez Cruz, Pedro Pablo [2 ]
Cawich, Shamir O. [1 ,2 ]
机构：
[1] Univ West Indies, Fac Med Sci, Dept Clin Surg Sci, St Augustine, Trinidad Tobago
[2] Port Of Spain Gen Hosp, Dept Surg, Port Of Spain, Trinidad Tobago
来源：
JOURNAL OF PERIOPERATIVE PRACTICE | 2023年 / 33卷 / 09期
关键词：
Anaesthetics; management and care; Evidence-based practice; Imaging and X-ray; Pre-assessment; Quality of care; Trauma and orthopaedic surgery; CLINICAL-PRACTICE GUIDELINES; AORTIC-STENOSIS; ELDERLY-PATIENTS; MORTALITY; IMPACT; COMPLICATIONS; POPULATION; OUTCOMES; ADULTS;
D O I：
10.1177/17504589221110332
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The aim of this study was to determine the rate of preoperative transthoracic echocardiography in hip fracture patients and to evaluate its effects on time to surgery and length of stay. We conducted a retrospective review of all patients with hip fractures treated at a tertiary referral hospital. Data examined included age, sex, comorbidities, time to surgery, length of stay, fracture type and transthoracic echocardiography findings. Forty-eight patients with hip fractures underwent surgery (men 41.7%; mean age 77.2 (49-95)). Nine patients (18.7%) had a preoperative transthoracic echocardiography. Preoperative transthoracic echocardiography was associated with a significantly longer time to surgery an abbreviation for days e.g dys should be added after the values to indicate what time frame is being measured (14.7 versus 6.8, p=0.0051) and length of stay (23.6 versus 10.4, p=0.0002). This study demonstrates a high rate of preoperative transthoracic echocardiography in hip fracture patients. The role of transthoracic echocardiography should be reassessed in view of its association with significant surgical delays.
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页码：276 / 281
页数：6
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