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    The impact on cardiac diagnosis and mortality of focused transthoracic echocardiography in hip fracture surgery patients with increased risk of cardiac disease: a retrospective cohort study

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    68
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    Author
    Canty, DJ; Royse, CF; Kilpatrick, D; Bowyer, A; Royse, AG
    Date
    2012-11-01
    Source Title
    ANAESTHESIA
    Publisher
    WILEY-BLACKWELL
    University of Melbourne Author/s
    Canty, David; Royse, Colin; Royse, Alistair
    Affiliation
    Surgery - Royal Melbourne Hospital
    Metadata
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    Document Type
    Journal Article
    Citations
    Canty, D. J., Royse, C. F., Kilpatrick, D., Bowyer, A. & Royse, A. G. (2012). The impact on cardiac diagnosis and mortality of focused transthoracic echocardiography in hip fracture surgery patients with increased risk of cardiac disease: a retrospective cohort study. ANAESTHESIA, 67 (11), pp.1202-1209. https://doi.org/10.1111/j.1365-2044.2012.07300.x.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/32890
    DOI
    10.1111/j.1365-2044.2012.07300.x
    Description

    C1 - Journal Articles Refereed

    Abstract
    Hip fracture surgery is associated with a high rate of mortality and morbidity; heart disease is the leading cause and is often unrecognised and inadequately treated. Pre-operative focused transthoracic echocardiography by anaesthetists frequently influences management, but mortality outcome studies have not been performed to date. Mortality over the 12 months after hip fracture surgery, in 64 patients at risk of cardiac disease who received pre-operative echocardiography, was compared with 66 randomised historical controls who did not receive echocardiography. Mortality was lower in the group that received echocardiography over the 30 days (4.7% vs 15.2%, log rank p=0.047) and 12 months after surgery (17.1% vs 33.3%, log rank p=0.031). Hazard of death was also reduced with pre-operative echocardiography over 12 months after adjustment for known risk factors (hazard ratio 0.41, 95% CI 0.2-0.85, p=0.016). Pre-operative echocardiography was not associated with a delay in surgery. These data support a randomised controlled trial to confirm these findings.
    Keywords
    Cardiology (incl. Cardiovascular Diseases); Anaesthesiology; Surgery; Cardiovascular System and Diseases; Diagnostic Methods

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