TAILIEUCHUNG - báo cáo hóa học:" Pre-operative echocardiogram in hip fracture patients with cardiac murmur- an audit"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Pre-operative echocardiogram in hip fracture patients with cardiac murmur- an audit | Jettoo et al. Journal of Orthopaedic Surgery and Research 2011 6 49 http content 6 1 49 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Pre-operative echocardiogram in hip fracture patients with cardiac murmur- an audit Prithee Jettoo Rajesh Kakwani Shahid Junejo Imtiyaz Talkhani and Paul Dixon Abstract Background All hip fracture patients with a cardiac murmur have an echocardiogram as a part of their preoperative work-up in our unit. We performed a retrospective audit to assess the impact of obtaining a preoperative echocardiogram on the management of hip fracture patients. Methods All hip fracture patients N 349 between 01 06 08 and 01 06 09 were included in the study. 29 patients had pre-operative echocardiogram echo group . A computer generated randomised sample of 40 patients was generated from N non-echo group. Data was obtained from medical records and the Hospital Information Support System HISS . The groups were compared using Student s t test. Approval was obtained locally from the clinical governance department for this project. Results Age and gender distribution were similar in both groups. Indication for echo was an acute cardiac abnormality in 4 cases. 25 patients had echo for no new cardiac problem indication being cardiac murmur in 23 patients and extensive cardiac history in 2 cases . Cardiology opinion was sought in 5 cases. No patient required cardiac surgery or balloon angioplasty preoperatively. Patients having pre-operative echo had significant delay to surgery average days range 0-6 days compared to non-echo group average days range 0-3 days p . There was no significant difference in length of stay p and mortality at 30 days p between the groups. Conclusion We have developed departmental guidelines for expediting echo requests in hip fracture patients with cardiac murmur. A liaison has been established with our cardiology department to prioritise such patients on the .

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