Risk Factors of Postoperative Acute Heart Failure in Elderly Patients After Hip Fracture Surgery.

Autor:	Riaz MH; Cardiology, Allama Iqbal Medical College, Lahore, PAK., Riaz J; Medicine, Mohi-ud-Din Islamic Medical College, Mirpur, PAK., Mahmood A; Cardiology, Lahore General Hospital, Lahore, PAK., Tariq M; Cardiology, Jinnah Hospital, Lahore, PAK., Sahar N; Internal Medicine, Allama Iqbal Medical College, Lahore, PAK., Ali RS; Orthopedic Surgery, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan, PAK., Ahmad N; Cardiology, Allama Iqbal Medical College, Lahore, PAK., Irshad S; Internal Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA., Ahmad MH; Medicine, Allama Iqbal Medical College, Lahore, PAK., Arshad H; Surgery, Allama Iqbal Medical College, Lahore, PAK., Khan TM; Orthopedic Surgery, Rawalpindi Medical University, Rawalpindi, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Apr 25; Vol. 16 (4), pp. e58967. Date of Electronic Publication: 2024 Apr 25 (Print Publication: 2024).
DOI:	10.7759/cureus.58967
Abstrakt:	Background Postoperative acute heart failure (AHF) in elderly patients after hip fracture surgery is a common complication. Therefore, this study aimed to identify the risk factor of AHF after hip fracture surgery among the older population. Methods This retrospective cohort study was performed on 88 admitted patients whose hip fractures were fixed via internal fixation surgery in a tertiary care hospital in Rawalpindi, Pakistan, from January 2022 to March 2023. Recruitment of patients was made through established inclusion and exclusion criteria. Ethical approval and informed consent were also gained before the data collection. A self-designed form was used to collect data. Data analysis was carried out in the IBM SPSS Statistics for Windows, Version 25 (Released 2017; IBM Corp., Armonk, New York, United States). Both descriptive and inferential statistics were applied to compare the attributes of the patients with AHF and patients without AHF. Multivariate logistic regression was used to evaluate the association between the postoperative AHF and its potential risk factors. Results Out of 88 enrolled patients, 12 (13.64%) had developed postoperative AHF. Age ≥ 65 years (OR = 2.606, 95% CI = 1.035~4.160, p = 0.010), anemia (OR = 3.178, 95% CI = 1.847~5.990, p = 0.029), hypertension (OR = 2.019, 95% CI = 1.110~4.034, p = 0.012), diabetes mellitus (OR = 2.003, 95% CI = 1.115~4.012, p = 0.015), hypoalbuminemia (OR = 2.486, 95% CI = 1.218~4.619, p = 0.030), and operation time ≥ 120 minutes (OR = 1.702, 95% CI = 1.099~2.880, p = 0.018), were the risk factors of postoperative AHF in elderly patients after hip fracture surgery. Conclusions In the study population, the incidence of postoperative heart failure was significant and age ≥ 65 years, anemia, hypertension, diabetes mellitus, hypoalbuminemia, and operation time ≥ 120 were significantly involved in the development of it. Preoperative identification and management of AHF risk factors could lead to the prevention of postoperative complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Riaz et al.)
Databáze:	MEDLINE
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