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European Journal of Trauma and Emergency Surgery

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Open Access 17-09-2020 | Original Article

The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery

Authors: Maximilian Peter Forssten, Ahmad Mohammad Ismail, Gabriel Sjolin, Rebecka Ahl, Per Wretenberg, Tomas Borg, Shahin Mohseni

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2022

Abstract

Purpose

The post-operative mortality after hip fracture surgery is high and has remained largely unchanged during the last decades. The Revised Cardiac Risk Index (RCRI) is a tool used to evaluate the 30-day risk of, among other outcomes, post-operative mortality. The aim of this study is to determine the association between the RCRI score and post-operative mortality in patients undergoing hip fracture surgery.

Methods

Data was obtained from the national hip fracture register which was cross-referenced with patients’ electronic hospital records. All adults who underwent primary emergency hip fracture surgery in Orebro County, Sweden, between January 1, 2013 and December 31, 2017, were included. Patients were divided into two cohorts: low RCRI (score = 0–1) and high RCRI (score ≥ 2). A Poisson regression model was employed to investigate the association between a high RCRI score and 30- and 90-day post-operative mortality.

Results

A total of 2443 patients, of whom 446 (18%) had a high RCRI score, were included in the current study. When adjusting for age, sex, comorbidities and type of surgery, the incidence of 30-day mortality increased by 46% in the high RCRI cohort (adj. IRR 1.46, 95% CI, 1.10–1.94, p = 0.010). Similar results were observed for 90-day mortality (adj. IRR 1.50, 95% CI, 1.21–1.84, p < 0.001).

Conclusion

The RCRI is applicable to patients that undergo surgery for traumatic hip fractures. A high RCRI score is associated with an increased incidence of both 30- and 90-day post-operative mortality. Future studies to evaluate these findings are needed.

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Title: The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery
Authors: Maximilian Peter Forssten
Ahmad Mohammad Ismail
Gabriel Sjolin
Rebecka Ahl
Per Wretenberg
Tomas Borg
Shahin Mohseni
Publication date: 17-09-2020
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01488-w

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The association between the Revised Cardiac Risk Index and short-term mortality after hip fracture surgery

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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