The Incidence and Risk Factors of Cardiovascular Complication after Hip Fracture Surgery Lamphun Hospital
Keywords:
Hip fracture surgery, Cardiovascular complicationAbstract
Hip fracture is common injury in the elderly. Patients presenting for hip fracture surgery have multiple medical problems and require medical stabilization before surgery. The objectives of this study are to analyze the incidence and risk factors associated with postoperative cardiovascular complications during the surgical admission period. Seven hundred and sixteen patients who had undergone hip surgery from 2015 to 2017 were divided into case group or the control group according to the occurrence of postoperative cardiovascular complications. The incidence of cardiovascular complications was 3.07%.The risk factors of cardiovascular postoperative complications included cardiac arrhythmia (RR = 4.97; CI 95%: 1.43 – 17.28, p = 0.011) ASA class 4 – 5 (RR = 4.67; CI 95%: 1.79-12.20, p = 0.002) and hemoglobin level under 10 g/dl (RR = 3.24; CI 95%: 1.35-7.72, p = 0.008). Inconclusion patients who had history of cardiac arrhythmia, ASA class 4-5 and blood level of hemoglobin under 10 g/dl were significantly increasing risk factors of postoperative cardiovascular complication
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