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Article: Preoperative cardiac risk assessment in geriatric patients with hip fractures: An orthopedic surgeons' perspective

TitlePreoperative cardiac risk assessment in geriatric patients with hip fractures: An orthopedic surgeons' perspective
Authors
KeywordsOsteoporosis
Issue Date2010
PublisherSpringer U K. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/198
Citation
Osteoporosis International, 2010, v. 21 SUPPL. 4, p. S587-S591 How to Cite?
AbstractHip fracture is one of the most common orthopedic conditions and is associated with significant morbidity and mortality. With a progressively aging population, the annual incidence of hip fracture is expected to increase substantially. Emerging evidence suggests that early surgery (<24 h) minimizes complications secondary to immobilization, including orthostatic pneumonia and venous thromboembolism. Delayed surgical repair (>48 h) has been consistently demonstrated to be associated with an increased risk of 30-day and 1-year mortality. Nonetheless, early surgery necessitates a shorter time for preoperative medical preparation, in particular cardiac assessment. Patients who undergo emergent orthopedic surgery are therefore at greater risk of perioperative cardiac events than those who undergo elective surgery. In addition, the prompt triage system for preoperative cardiac assessment not only identifies patients at high risk of perioperative cardiac complications but also reduces unnecessary cardiac consultations for low-risk patients. We review the current recommendations for preoperative cardiac assessment adapted for patients with hip fracture and describe our current triage system for preoperative cardiac consultation. © 2010 The Author(s).
Persistent Identifierhttp://hdl.handle.net/10722/135290
ISSN
2015 Impact Factor: 3.445
2015 SCImago Journal Rankings: 1.460
PubMed Central ID
ISI Accession Number ID
Funding AgencyGrant Number
Synthes
Funding Information:

Dr. Leung is the speaker for Synthes and has received research support from Synthes. None of the other authors has a real or perceived conflict of interest or a disclosure of any personal or financial support.

References

 

DC FieldValueLanguage
dc.contributor.authorSiu, CWen_HK
dc.contributor.authorSun, NCHen_HK
dc.contributor.authorLau, TWen_HK
dc.contributor.authorYiu, KHen_HK
dc.contributor.authorLeung, Fen_HK
dc.contributor.authorTse, HFen_HK
dc.date.accessioned2011-07-27T01:31:31Z-
dc.date.available2011-07-27T01:31:31Z-
dc.date.issued2010en_HK
dc.identifier.citationOsteoporosis International, 2010, v. 21 SUPPL. 4, p. S587-S591en_HK
dc.identifier.issn0937-941Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/135290-
dc.description.abstractHip fracture is one of the most common orthopedic conditions and is associated with significant morbidity and mortality. With a progressively aging population, the annual incidence of hip fracture is expected to increase substantially. Emerging evidence suggests that early surgery (<24 h) minimizes complications secondary to immobilization, including orthostatic pneumonia and venous thromboembolism. Delayed surgical repair (>48 h) has been consistently demonstrated to be associated with an increased risk of 30-day and 1-year mortality. Nonetheless, early surgery necessitates a shorter time for preoperative medical preparation, in particular cardiac assessment. Patients who undergo emergent orthopedic surgery are therefore at greater risk of perioperative cardiac events than those who undergo elective surgery. In addition, the prompt triage system for preoperative cardiac assessment not only identifies patients at high risk of perioperative cardiac complications but also reduces unnecessary cardiac consultations for low-risk patients. We review the current recommendations for preoperative cardiac assessment adapted for patients with hip fracture and describe our current triage system for preoperative cardiac consultation. © 2010 The Author(s).en_HK
dc.languageengen_US
dc.publisherSpringer U K. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/198en_HK
dc.relation.ispartofOsteoporosis Internationalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThe Author(s)-
dc.rightsThe Author(s)en_US
dc.subjectOsteoporosisen_HK
dc.subject.meshHeart Diseases - complications - diagnosis-
dc.subject.meshHip Fractures - surgery-
dc.subject.meshOsteoporotic Fractures - surgery-
dc.subject.meshPreoperative Care - methods-
dc.subject.meshPostoperative Complications/prevention & control-
dc.titlePreoperative cardiac risk assessment in geriatric patients with hip fractures: An orthopedic surgeons' perspectiveen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0937-941X&volume=21 Suppl. 4&spage=S587&epage=S591&date=2010&atitle=Preoperative+cardiac+risk+assessment+in+geriatric+patients+with+hip+fractures:+an+orthopedic+surgeons%27+perspective-
dc.identifier.emailSiu, CW:cwdsiu@hkucc.hku.hken_HK
dc.identifier.emailYiu, KH:khkyiu@hku.hken_HK
dc.identifier.emailLeung, F:klleunga@hku.hken_HK
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_HK
dc.identifier.authoritySiu, CW=rp00534en_HK
dc.identifier.authorityYiu, KH=rp01490en_HK
dc.identifier.authorityLeung, F=rp00297en_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00198-010-1393-0en_HK
dc.identifier.pmid21057998-
dc.identifier.pmcidPMC2974919-
dc.identifier.scopuseid_2-s2.0-78449291949en_HK
dc.identifier.hkuros185977en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78449291949&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issueSUPPL. 4en_HK
dc.identifier.spageS587en_HK
dc.identifier.epageS591en_HK
dc.identifier.eissn1433-2965en_US
dc.identifier.isiWOS:000289889600009-
dc.publisher.placeUnited Kingdomen_HK
dc.description.otherSpringer Open Choice, 31 May 2011en_US
dc.identifier.scopusauthoridSiu, CW=7006550690en_HK
dc.identifier.scopusauthoridSun, NCH=42762302200en_HK
dc.identifier.scopusauthoridLau, TW=42761610400en_HK
dc.identifier.scopusauthoridYiu, KH=35172267800en_HK
dc.identifier.scopusauthoridLeung, F=7103078631en_HK
dc.identifier.scopusauthoridTse, HF=7006070805en_HK

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