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Association Between Short-, Intermediate-, and Long-term Mortality and Myocardial Injury After Noncardiac Surgery After Hip Fracture Surgery: A Retrospective Cohort
- Source :
- Anesthesia & Analgesia. 133:915-923
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- BACKGROUND For more than 20 years, hip fracture 1-year mortality has remained around 20%. An elevation of the postoperative troponin peak within 72 hours (myocardial injury after noncardiac surgery [MINS]) is associated with a greater risk of short-term mortality in the general population. However, there seem to be conflicting results in the specific population who undergo hip fracture surgery, with some studies finding an association between troponin and mortality and some not. The objective of the present study was to investigate the association of MINS and the short- (before 28th day), intermediate- (before 180th day), and long-term (before 365th day) mortality after hip fracture surgery. METHODS We conducted a single-center retrospective cohort of patients undergoing hip fracture surgery from November 2013 to December 2015. MINS was defined as postoperative troponin peak within the 72 hours >5 ng/L. Four MINS subgroups were defined according to the value of troponin peak (ie, ≥5
- Subjects :
- Male
medicine.medical_specialty
Acute coronary syndrome
Time Factors
Heart Diseases
Population
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Fracture Fixation
Risk Factors
030202 anesthesiology
Internal medicine
Risk of mortality
Humans
Medicine
education
Aged
Retrospective Studies
Aged, 80 and over
education.field_of_study
Hip fracture
Hip Fractures
business.industry
Proportional hazards model
Myocardium
Hazard ratio
Retrospective cohort study
Odds ratio
Middle Aged
medicine.disease
Troponin
Up-Regulation
Treatment Outcome
Anesthesiology and Pain Medicine
Cardiology
Female
France
business
Biomarkers
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 00032999
- Volume :
- 133
- Database :
- OpenAIRE
- Journal :
- Anesthesia & Analgesia
- Accession number :
- edsair.doi.dedup.....2c1f14089d4b2cf27a44727607421598