scholarly journals Hip fracture surgery: Is the pre-operative American Society of Anesthesiologists (ASA) score a predictor of functional outcome?

2002 ◽  
Vol 14 (5) ◽  
pp. 389-394 ◽  
Author(s):  
Jean-Pierre Michel ◽  
Claude Klopfenstein ◽  
Pierre Hoffmeyer ◽  
Richard Stern ◽  
Bernard Grab
Keyword(s):  
Hip Fracture ◽  
Functional Outcome ◽  
Asa Score ◽  
Hip Fracture Surgery ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Fracture Surgery

scholarly journals Developing a Simpler Prognosticating Tool: Comparing the Combined Assessment of Risk Encountered in Surgery Score with Deyo-Charlson Comorbidity Index and The American Society of Anesthesiologists Physical Status Score in Predicting 2 years Mortality after Hip Fracture Surgery

2021 ◽  
Vol 12 ◽  
pp. 215145932110362
Author(s):  
Eric Wei Liang Cher ◽  
John Allen Carson ◽  
Eileen Yilin Sim ◽  
Hairil Rizal Abdullah ◽  
Tet Sen Howe ◽  
...  
Keyword(s):  
Hip Fracture ◽  
High Risk ◽  
Charlson Comorbidity Index ◽  
Statistical Significance ◽  
Physical Status ◽  
Hip Fracture Surgery ◽  
Comorbidity Index ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Fracture Surgery

Background: The use of risk stratification tools in identifying high-risk hip fracture patients plays an important role during treatment. The aim of this study was to compare our locally derived Combined Assessment of Risk Encountered in Surgery (CARES) score with the the American Society of Anesthesiologists physical status (ASA-PS) score and the Deyo–Charlson Comorbidity Index (D-CCI) in predicting 2-year mortality after hip fracture surgery. Methods and Material: A retrospective study was conducted on surgically treated hip fracture patients in a large tertiary hospital from Jan 2013 through Dec 2015. Age, gender, time to surgery, ASA-PS score, D-CCI, and CARES score were obtained. Univariate and multivariable logistic regression analyses were used to assess statistical significance of scores and risk factors, and area under the receiver operating characteristic (ROC) curve (AUC) was used to compare ASA-PS, D-CCI, and CARES as predictors of mortality at 2 years. Results: 763 surgically treated hip fracture patients were included in this study. The 2-year mortality rate was 13.1% (n = 100), and the mean ± SD CARES score of surviving and demised patients was 21.2 ± 5.98 and 25.9 ± 5.59, respectively. Using AUC, CARES was shown to be a better predictor of 2-year mortality than ASA-PS, but we found no statistical difference between CARES and D-CCI. A CARES score of 23, attributable primarily to pre-surgical morbidities and poor health of the patient, was identified as the statistical threshold for “high” risk of 2-year mortality. Conclusion: The CARES score is a viable risk predictor for 2-year mortality following hip fracture surgery and is comparable to the D-CCI in predictive capability. Our results support the use of a simpler yet clinically relevant CARES in prognosticating mortality following hip fracture surgery, particularly when information on the pre-existing comorbidities of the patient is not immediately available.

Using ASA Score to Predict Mortality after Hip Fracture Surgery

2010 ◽  
Vol 25 (3) ◽  
pp. e45 ◽  
Author(s):  
Kristian Bjorgul ◽  
Wendy Novicoff ◽  
Khaled J. Saleh
Keyword(s):  
Hip Fracture ◽  
Asa Score ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals Short-term complications of anesthetic technique used in hip fracture surgery in elderly people

2018 ◽  
Vol 28 (3) ◽  
Author(s):  
Afsaneh Norouzi ◽  
Fozhan Behrouzibakhsh ◽  
Alireza Kamali ◽  
Bijan Yazdi ◽  
Babak Ghaffari
Keyword(s):  
Hip Fracture ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Anesthetic Technique ◽  
Sectional Study ◽  
Short Term ◽  
Cross Sectional ◽  
Hip Fracture Surgery ◽  
American Society ◽  
Fracture Surgery

Postoperative complications of fracture are one of the main problems in older patients with hip fracture. In this study, complications were observed 48 hours after surgery in different anesthetic procedures. This prospective cross sectional study was carried out over a 12-month period. All subjects over 55 years of age undergoing hip fracture surgery were selected for study with ASA class (American Society of Anesthesiology: one, two and three). After determining the vital signs in the operating room, anesthesia type (general, spinal and epidural) and various variables were recorded. It was observed that the spinal anesthesia method had the lowest level of postoperative disturbances of consciousness and had the shortest duration in terms of duration of time. On the other hand, general anesthesia was the least in terms of blood transfusion. Finally, epidural anesthetic method showed the least amount of pain 48 hours after operation and the least changes in blood pressure and heart rate.

scholarly journals Variation in timely surgery for hip fracture by day and time of presentation: a nationwide prospective cohort study from the National Hip Fracture Database for England, Wales and Northern Ireland

2020 ◽  
pp. bmjqs-2020-011196
Author(s):  
Anjali Shah ◽  
Gulraj S Matharu ◽  
Dominic Inman ◽  
Elizabeth Fagan ◽  
Antony Johansen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Northern Ireland ◽  
Population Based ◽  
Quality Healthcare ◽  
Adjusted Risk ◽  
Hip Fracture Surgery ◽  
Average Patient ◽  
American Society ◽  
American Society Of Anesthesiologists

Background and ObjectiveSeveral studies report poorer quality healthcare for patients presenting at weekends. Our objective was to examine how timely surgery for patients with hip fracture varies with day and time of their presentation.MethodsThis population-based cohort study used 2017 data from the National Hip Fracture Database, which recorded all patients aged 60 years and over who presented with a hip fracture at a hospital in England, Wales and Northern Ireland. Provision of prompt surgery (surgery within 36 hours of presentation) was examined, using multivariable logistic regression with generalised estimating equations to derive adjusted risk ratios (RRs). Time was categorised into three 8-hour intervals (day: 08:00–15:59, evening: 16:00–23:59 and night: 00:00–07:59) for each day of the week. The model accounted for clustering by hospital and was adjusted by sex, age, fracture type, operation type, American Society of Anesthesiologists grade, preinjury mobility and location.ResultsWe studied 68 977 patients from 177 hospitals. The average patient presenting during the day on Friday or Saturday was significantly less likely to undergo prompt surgery (Friday during 08:00–15:59, RR=0.93, 95% CI 0.91 to 0.96; Saturday during 08:00–15:59, RR=0.91, 95% CI 0.88 to 0.94) than patients in the comparative category (Thursday, during the day). Patients presenting during the evening (16:00–23:59) were consistently significantly less likely to undergo prompt surgery, and the effect was more marked on Fridays and Saturdays (Friday during 16:00-23:59, RR=0.83, 95% CI 0.80 to 0.85; Saturday during 16:00–23:59, RR=0.81, 95% CI 0.78 to 0.85). Patients presenting overnight (00:00–07:59), except on Saturdays, were significantly more likely to undergo surgery within 36 hours (RR>1.07).ConclusionThe provision of prompt hip fracture surgery was complex, with evidence of both an ‘evening’ and a ‘night’ effect. Investigation of weekly variation in hip fracture care is required to help implement strategies to reduce the variation in timely surgery throughout the entire week.

scholarly journals Prognostic factors of functional outcome after hip fracture surgery: a systematic review

2018 ◽  
Vol 47 (5) ◽  
pp. 661-670 ◽  
Author(s):  
K J Sheehan ◽  
L Williamson ◽  
J Alexander ◽  
C Filliter ◽  
B Sobolev ◽  
...  
Keyword(s):  
Systematic Review ◽  
Prognostic Factors ◽  
Hip Fracture ◽  
Functional Outcome ◽  
Hip Fracture Surgery ◽  
Fracture Surgery
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