Abstract

COSINI, Facundo N et al. Fractura de cadera en el paciente añoso: ¿Es necesario esperar el ecocardiograma?. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2020, vol.85, n.1, pp.7-10. ISSN 1852-7434.

Introduction: Hip fractures frequently occur in elderly patients with multiple medical comorbidities. The transthoracic echocardiogram (TTE) is often performed as part of the preoperative evaluation. The main purpose of this study was to assess the impact of the preoperative TTE on surgical delay in hip fracture inpatients. Materials and Methods: We performed a retrospective study in 40 hip fracture patients who underwent TTE during the preoperative evaluation. The control group was made up of 70 patients of similar ages and comorbidities (P>0,05). We studied the surgical delay, the guideline adherence rate (ACC/AHA), and the impact on perioperative management. Results: The surgical delay was longer in the TTE group (P<0.01), the guideline adherence rate was 47.5%, and the exam did not generate any changes in the perioperative management in 97.5% of the patients. Conclusion: The request for an inpatient echocardiogram generates additional preoperative delays. Approximately half of our series was considered to have excessive TTE testing, which increases costs, and, in patients in whom it is not indicated, the TTE does not impact perioperative management.

Keywords : Hip fracture; Surgical delay; Echocardiogram.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )