Abstract：
BACKGROUND:The aim of this study was to prospectively investigate the adherence to the American College of Cardiology (ACC) and the American Heart Association guidelines for perioperative assessment of patients with hip fracture in daily clinical practice and how this might affect outcome. METHODS:This prospective cohort study from Maastricht University Medical Centre included 166 hip fracture patients within a 3-year inclusion period. The preoperative cardiac screening and adherence to the ACC/AHA guideline were analyzed. Cardiac risk was classified as low, intermediate and high risk. Secondary outcome measurements were delay to surgery, perioperative complications and in-hospital, 30-day, 1-year and 2-year mortality. RESULTS:According to the ACC/AHA guideline, 87% of patients received correct preoperative cardiac screening. The most important reason for incorrect preoperative cardiac screening was overscreening (> 90%). Multivariate analysis showed that a cardiac consultation (p = 0.003) and overscreening (p = 0.02) as significant predictors for increased delay to surgery, while age, sex, previous cardiac history and preoperative mobility were not. High risk patients had in comparison with low risk patients a significantly higher relative risk ratio for in-hospital mortality (RR 6, 95% CI 2-17). Multivariate analysis showed that a previous cardiac history and increased delay to surgery were predictors for early mortality. High age and previous cardiac history were risk factors for late mortality. CONCLUSION:Preoperative cardiac screening for hip fracture patients in adherence to the ACC/AHA guideline is associated with a diminished use of preoperative resources. Overscreening leads to greater delay to surgery, which poses a risk for perioperative complications and early mortality. LEVEL OF EVIDENCE:II.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Smeets SJM,van Wunnik BPW,Poeze M,Slooter GD,Verbruggen JPAMdoi
10.1007/s00402-019-03270-zsubject
Has Abstractpub_date
2020-01-01 00:00:00pages
33-41issue
1eissn
0936-8051issn
1434-3916pii
10.1007/s00402-019-03270-zjournal_volume
140pub_type
杂志文章abstract：BACKGROUND AND PURPOSE:The wrist is one of the most affected joints in rheumatoid arthritis. The purpose of this retrospective study was to assess clinical, functional and radiographic results of radio-lunate arthrodesis. Two different operation and fixation techniques are compared and detailed outcome after this inter...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-013-1729-2
更新日期：2013-05-01 00:00:00
abstract：:We treated a combined fracture of the greater and lesser tuberosity with head shaft continuity in the proximal humerus. This case is impossible to classify in three of the classifications, the Neer classification, AO Müller classification, or Jakob classification. However, this case has been described as fracture type...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-006-0252-0
更新日期：2007-12-01 00:00:00
abstract：INTRODUCTION:Two revisions of broken β-titanium total hip stems had to be performed in our hospital after 2 and 4 years in situ. Since both fractures were located at the level of a laser engraving, a failure analysis was conducted. MATERIALS AND METHODS:Both retrieved hip stems were disinfected and collected in our re...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-015-2225-7
更新日期：2015-07-01 00:00:00
abstract：:A total of 20 hip joints of 10 non-fixed corpses were examined within 48 h of death to measure the pressure below the inguinal ligament simulating the surgical conditions during total hip arthroplasty. The purpose of this study was to assess the influence of various leg positions and insertion techniques of retractors...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020050216
更新日期：1998-01-01 00:00:00
abstract：INTRODUCTION:The airbag is an established car safety device. However, recent studies pointed out that even the airbag might cause injuries. Nevertheless, most physicians do consider a lower risk in accident victims sustaining severe injury of the chest, when a deployed frontal airbag has been reported. We set out to ve...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-006-0181-y
更新日期：2006-10-01 00:00:00
abstract：INTRODUCTION:This study documents 2-year clinical and radiographic results following reversed total shoulder arthroplasty using a novel prosthesis with inverted bearing materials (polyethylene glenoid; metal humeral component). This design was intended to avoid massive PE abrasion on the humeral side. Therefore, we pre...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s00402-014-2135-0
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Demand for revision total hip arthroplasty (RTHA) continues to grow worldwide and is expected to more than double within the next 1-2 decades. The primary aim of this study was to examine return to function following revision THA in a UK population. PATIENTS AND METHODS:We assessed 118 patients (132 RTHAs, ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-018-3090-y
更新日期：2019-03-01 00:00:00
abstract：INTRODUCTION:The German national nosocomial infections surveillance system (KISS) has been collecting surveillance data from hip and knee prosthesis operations since 1997. The purpose of this article is to investigate whether surveillance and feedback of surgical site infection (SSI) information to the physicians and n...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-005-0036-y
更新日期：2005-10-01 00:00:00
abstract：INTRODUCTION:The early development of progressive scoliosis with pelvic obliquity is the most significant orthopaedic problem for non-ambulatory children with spinal muscular atrophy (SMA). PATIENTS:24 SMA patients were operated on for scoliosis using the ISOLA(®) system and 17 patients using a telescopic rod. The ave...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1610-8
更新日期：2012-12-01 00:00:00
abstract：:Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient who revealed bilateral hip pain during early postnatal period. The plain radiographs and computerized tomography showed bilateral femo...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-007-0439-z
更新日期：2008-03-01 00:00:00
abstract：:For the athlete a stress fracture of the great toe sesamoid is an injury of fundamental significance. As radiographic findings and bone scintigraphy are not specific, these fractures have the longest delay between first symptoms and definitive diagnosis. Apart from magnetic resonance imaging, the only accurate investi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00420264
更新日期：1993-01-01 00:00:00
abstract：:Permanent secondary stability of the uncemented femoral stem of hip prostheses can only be achieved once primary rotational and axial stability has been ensured. Rotational stability means that the stem is resistant to the articular forces that induce rotation around the implant's longitudinal axis. The 10-year surviv...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020000215
更新日期：2001-01-01 00:00:00
abstract：:It is often not feasible to conduct large trials in orthopaedic surgery. Therefore, surgeons must identify strategies to optimize the statistical power of their smaller studies. The aim of this study was to compare study power in randomized trials with continuous versus dichotomous outcome variables. We performed a sy...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020100347
更新日期：2002-03-01 00:00:00
abstract：:Dorsal dislocation of the interphalangeal (IP) joint of the thumb is a rare injury, and closed dislocation without fracture is especially unusual. We present here two cases of closed dislocation of the thumb which were reduced by manipulation. ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00434563
更新日期：1996-01-01 00:00:00
abstract：INTRODUCTION:Restoring the joint line (JL) in primary as well as revision total knee arthroplasty (TKA) influences clinical results as well as long-term survival rates. Whereas studies agree about the negative effect of JL alteration, the reference system of choice is unclear. The purpose of the present study was to ev...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-014-1953-4
更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:Potential adverse and unknown long-term effects as well as additional costs limit the use of BMPs (Bone morphogenetic proteins) in primary fusion procedures. However, the proven osteoinductive properties render BMPs attractive for the attempt to reach fusion of symptomatic non-unions. The aim of this study i...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-016-2485-x
更新日期：2016-08-01 00:00:00
abstract：INTRODUCTION:An intact distal radioulnar joint (DRUJ) is essential for normal functioning of the upper limb. Osteoarthritis of the DRUJ often leads to ulnar wrist pain, limitation of forearm rotation and reduced grip strength, all of which limit activities of daily living. Once the joint is damaged, salvage procedures ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-003-0529-5
更新日期：2003-07-01 00:00:00
abstract：INTRODUCTION:Accuracy in navigated surgery depends on placement and registration of stable reference markers close to the anatomic region of interest. Navigation in small and complex anatomic regions, such as the scaphoid, is challenging due to difficulties in placing a stable reference marker. In the current paper, we...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-010-1044-0
更新日期：2010-07-01 00:00:00
abstract：PURPOSE:Only few prognostic factors for progression of knee osteoarthritis are well established, including varus malalignment. The purpose of this study was to evaluate whether coronal tibiofemoral subluxation is a predictor for total knee arthroplasty. METHODS:Patients from the progression subcohort of the longitudin...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-017-2777-9
更新日期：2017-10-01 00:00:00
abstract：:To evaluate the spontaneous healing capability of acute anterior cruciate ligament (ACL) injuries, conservative treatment was applied in a selected group of 31 patients, who had low athletic demands. Each patient demonstrated a continuous ACL on magnetic resonance imaging (MRI), from the original femoral attachment th...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-001-0387-y
更新日期：2002-05-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
doi：10.1007/s00402-017-2687-x
更新日期：2017-06-01 00:00:00
abstract：:Due to the anatomical situation, intervertebral disc herniation usually results in compression of the anterior epidural space, with lateral or medial irritation of nerve root or cauda equina. Rare locations are an intra- or extraforaminal position or dislocation dorsally. Three patients with dorsal cauda equina compre...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020000213
更新日期：2001-01-01 00:00:00
abstract：:Geode, a subchondral cyst, is sometimes seen in the femur, knee, or wrist in a patient with rheumatoid arthritis (RA). But the onset of a giant geode at the olecranon is extremely rare in a patient with RA. We describe herein a rare case of a giant geode at the olecranon in a patient with RA. ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-005-0089-y
更新日期：2006-03-01 00:00:00
abstract：:Five fractures of the capitellum were fixed with a Herbert screw. Three patients had a type 1 fracture and two patients had a type 2 fracture. In four patients the fragment was fixed by insertion of the screw from the lateral epicondyle towards the joint line, with good clinical and radiological results. In one patien...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00395799
更新日期：1991-01-01 00:00:00
abstract：INTRODUCTION:The reliable diagnosis of partial-thickness tears of the rotator cuff is still elusive in clinical practise. Therefore, the purpose of the study was to determine the diagnostic accuracy of MR imaging and clinical tests for detecting partial-thickness tears of the rotator cuff as well as the combination of ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-017-2799-3
更新日期：2017-12-01 00:00:00
abstract：:We investigated the morphological changes in the articular cartilage after rotational acetabular osteotomy in 16 adolescent rabbits. Radiological and histological studies were conducted at 12 and 24 weeks postoperatively. The radiological evaluations at 12 and 24 weeks showed significantly increased femoral head cover...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00434105
更新日期：1997-01-01 00:00:00
abstract：PURPOSE:Few large-scale studies using adjusted data from national registries have explored the risk factors of subsequent revision in patients with unicompartmental knee arthroplasty (UKA) compared to those with total knee arthroplasty (TKA). We investigated the incidence rate and risk factors of subsequent revision in...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-020-03675-1
更新日期：2020-11-13 00:00:00
abstract：BACKGROUND:No consensus exists as to whether to let patients bear weight or not after revision of a loosened hip prosthesis using morselized and impacted allograft bone and cement. In the original description of the method, the patients were advised not to bear weight for 3 months postoperatively. Theoretically, bone g...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-003-0499-7
更新日期：2003-07-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine functional and subjective results of patients who received arthroscopic debridement for their TFCC Palmer 1B lesions and to compare their results with those of arthroscopic suture repair. METHODS:Between March 2007 and August 2011, 36 patients were diagnosed with Palm...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1643-z
更新日期：2013-02-01 00:00:00
abstract：:To investigate the demographic details and patterns of injuries related to horse handling, we reviewed 637 horse-related injuries in 581 stable- or stud-workers in a representative area of thoroughbred stabling in Japan. We found that (1) injuries occurred most frequently in a group of a relatively young workers, with...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020100278
更新日期：2001-10-01 00:00:00
