Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago.
Department of Surgery, Port of Spain General Hospital, Port of Spain, Trinidad and Tobago.
J Perioper Pract. 2023 Sep;33(9):276-281. doi: 10.1177/17504589221110332. Epub 2022 Jul 29.
The aim of this study was to determine the rate of preoperative transthoracic echocardiography in hip fracture patients and to evaluate its effects on time to surgery and length of stay. We conducted a retrospective review of all patients with hip fractures treated at a tertiary referral hospital. Data examined included age, sex, comorbidities, time to surgery, length of stay, fracture type and transthoracic echocardiography findings. Forty-eight patients with hip fractures underwent surgery (men 41.7%; mean age 77.2 (49-95)). Nine patients (18.7%) had a preoperative transthoracic echocardiography. Preoperative transthoracic echocardiography was associated with a significantly longer time to surgery an abbreviation for days e.g dys should be added after the values to indicate what time frame is being measured (14.7 versus 6.8, p = 0.0051) and length of stay (23.6 versus 10.4, p = 0.0002). This study demonstrates a high rate of preoperative transthoracic echocardiography in hip fracture patients. The role of transthoracic echocardiography should be reassessed in view of its association with significant surgical delays.
本研究旨在确定髋部骨折患者术前进行经胸超声心动图的比率，并评估其对手术时间和住院时间的影响。我们对在一家三级转诊医院接受治疗的所有髋部骨折患者进行了回顾性研究。检查的数据包括年龄、性别、合并症、手术时间、住院时间、骨折类型和经胸超声心动图结果。48 名髋部骨折患者接受了手术（男性占 41.7%；平均年龄 77.2（49-95）岁）。9 名患者（18.7%）进行了术前经胸超声心动图检查。术前经胸超声心动图检查与手术时间显著延长相关，住院时间也显著延长（14.7 天 vs. 6.8 天，p=0.0051；23.6 天 vs. 10.4 天，p=0.0002）。本研究表明髋部骨折患者术前进行经胸超声心动图检查的比例较高。鉴于经胸超声心动图与显著手术延迟有关，应重新评估其作用。
