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dc.contributor.authorCanty, DJ
dc.contributor.authorRoyse, CF
dc.contributor.authorKilpatrick, D
dc.contributor.authorBowyer, A
dc.contributor.authorRoyse, AG
dc.date.available2014-05-22T07:22:49Z
dc.date.issued2012-11-01
dc.identifierhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000309407300004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=d4d813f4571fa7d6246bdc0dfeca3a1c
dc.identifier.citationCanty, 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.
dc.identifier.issn0003-2409
dc.identifier.urihttp://hdl.handle.net/11343/32890
dc.descriptionC1 - Journal Articles Refereed
dc.description.abstractHip 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.
dc.formatapplication/pdf
dc.languageEnglish
dc.publisherWILEY-BLACKWELL
dc.subjectCardiology (incl. Cardiovascular Diseases); Anaesthesiology; Surgery; Cardiovascular System and Diseases; Diagnostic Methods
dc.titleThe 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
dc.typeJournal Article
dc.identifier.doi10.1111/j.1365-2044.2012.07300.x
melbourne.peerreviewPeer Reviewed
melbourne.affiliationThe University of Melbourne
melbourne.affiliation.departmentSurgery - Royal Melbourne Hospital
melbourne.source.titleANAESTHESIA
melbourne.source.volume67
melbourne.source.issue11
melbourne.source.pages1202-1209
melbourne.publicationid184980
melbourne.elementsid399259
melbourne.contributor.authorCanty, David
melbourne.contributor.authorRoyse, Colin
melbourne.contributor.authorRoyse, Alistair
dc.identifier.eissn1365-2044
melbourne.fieldofresearch320101 Cardiology (incl. cardiovascular diseases)
melbourne.fieldofresearch320201 Anaesthesiology
melbourne.fieldofresearch320226 Surgery
melbourne.seocode200199 Clinical health not elsewhere classified
melbourne.seocode200101 Diagnosis of human diseases and conditions
melbourne.accessrightsThis item is currently not available from this repository


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