The Incidence and Risk Factors of Cardiovascular Complication after Hip Fracture Surgery Lamphun Hospital


  • Mahathep A


Hip fracture surgery, Cardiovascular complication


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


Download data is not yet available.


Phadungkiat S, Chariyalertsak S, Rajatanavin R, Chiengthong K, Suriyawongpaisal P, Woratanarat P. Incidence of hip fracture in Chiang Mai. J Med Assoc Thai. 2002; 85:565-71.

Lawrence VA, Hilsenbeck SG, Noveck H, Poses RM, Carson JL. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162:2053-7.

Rodanant O, Chinachoti T, Veerawatakanon T, Charoenkul R, Somboonviboon W, Kojittavanit N. Perioperative myocardial ischemia/infarction: study of incidents from Thai Anesthesia Incidence Study (THAI Study) of 163,403 cases. J Med Assoc Thai. 2005; 88 Suppl 7:S54-61.

ปฐมห์ ลีละเมียร. การเตรียมผู้ป่วยก่อนผ่าตัด. ใน: วรภา สุวรรณจินดา, อังกาบ ปราการรัตน์, บรรณาธิการ. ตาราวิสัญญีวิทยา, พิมพ์ครั้งที่ 3 . กรุงเทพฯ: กรุงเทพเวชสาร, 2548: หน้า 148-56.

Hata TM, Hata JS. Preoperative Patient Assessment and Management. In: Barash PG, Cullen BF, Stoeling RK, eds. Clinical Anesthesia, 7th ed. Philadelphia: Williams & Wilkins; 2013: 581-611.

Frost SA, Nguyen ND, Black DA, Eisman JA, Nguyen TV. Risk factors for in-hospital post-hip fracture mortality. Bone. 2011; 49:553-8.

Gupta BP, Steckelberg RC, Gullerud RE, Huddleston PM, Kirkland LL, Wright RS, et al. Incidence and 1-Year Outcomes of Perioperative Atrial Arrhythmia in Elderly Adults after Hip Fracture Surgery. J Am Geriatr Soc. 2015; 63:2269-74.

Carpintero P, Caeiro JR, Carpintero R, Morales A, Silva S, Mesa M. Complications of hip fractures: A review. World journal of orthopedics. 2014; 5:402-11.

Patel D, Gillinov MA, Natale A. Atrial fibrillation after cardiac surgery: where are we now? Indian Pacing Electrophysiol J. 2008; 8:281-91.

Roche JJ, Wenn RT, Sahota O, Moran CG. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ. 2005; 331:1374.

Basilico FC, Sweeney G, Losina E, et al. Risk factors for cardiovascular complications following total joint replacement surgery. Arthritis Rheum. 2008; 58:1915–20.

January CT, Wann LS, Alpert JS. 2014 ACCF/AHA/HRS guideline for the management of patients with atrial fibrillation: A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society Developed in collaboration with the Society of Thoracic Surgeons. J Am CollCardiol. 2014; 21:e1–e76

Donegan DJ, Gay AN, Baldwin K, Morales EE, Esterhai JL, Jr., Mehta S. Use of medical comorbidities to predict complications after hip fracture surgery in the elderly. J Bone Joint Surg Am. 2010; 92:807-13.

Kastanis G, Topalidou A, Alpantaki K, Rosiadis M, Balalis K. Is the ASA Score in Geriatric Hip Fractures a Predictive Factor for Complications and Readmission? Scientifica. 2016; 2016:7096245.

Michel JP, Klopfenstein C, Hoffmeyer P, Stern R, Grab B. Hip fracture surgery: is the pre-operative American Society of Anesthesiologists (ASA) score a predictor of functional outcome? Aging Clin Exp Res. 2002; 14:389-94.

Malde AD. Anaesthesia risk stratification: Time to think beyond American society of anesthesiologists Physical Status Classification. Indian J Anaesth. 2011; 55:542-4.

Griffiths R, Alper J, Beckingsale A, Goldhill D, Heyburn G, Holloway J, et al. Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2012; 67:85-98.

Maxwell L, White S. Anaesthetic management of patients with hip fractures: an update. BJA Education. 2013; 13:179-83.



How to Cite

อัญชนา มหาเทพ พ.บ. The Incidence and Risk Factors of Cardiovascular Complication after Hip Fracture Surgery Lamphun Hospital. j dept med ser [Internet]. 2019 Jul. 1 [cited 2022 Aug. 10];44(4):62-6. Available from:



Original Article