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Open Access 01-12-2010 | Review

Pre-operative pulmonary assessment for patients with hip fracture

Authors: I.-L. Lo, C.-W. Siu, H.-F. Tse, T.-W. Lau, F. Leung, M. Wong

Published in: Osteoporosis International | Special Issue 4/2010

Abstract

Hip fracture is a common injury among the elderly. Although patients who receive hip fracture surgery carry the best functional recovery compared to other treatment modalities, the presence of postoperative pulmonary complications, such as atelectasis, pneumonia, and pulmonary thromboembolism, may contribute to increased length of hospital stay, perioperative morbidity, and mortality. This review aims to provide evidence-based recommendations for preoperative assessment and perioperative strategies to reduce the risk of pulmonary complications after hip fracture surgery. Clinical assessment and basic laboratory results are sufficient to stratify the risk of postoperative pulmonary complications. Well-documented risk factors for pulmonary complications include advanced age, poor general health status, current infections, pre-existing cardiopulmonary diseases, hypoalbuminemia, and impaired renal function. Apart from optimizing the patient's medical conditions, interventions such as lung expansion maneuvers and thromboprophylaxis have been proven to be effective in reducing the risk of pulmonary complications after hip fracture surgery.

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Title: Pre-operative pulmonary assessment for patients with hip fracture
Authors: I.-L. Lo
C.-W. Siu
H.-F. Tse
T.-W. Lau
F. Leung
M. Wong
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Osteoporosis International / Issue Special Issue 4/2010
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-010-1427-7

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