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Mortality following hip fracture surgery in patients with recent myocardial infarction

Baskaran Komarasamy1, Mark C Forster, Colin N Esler

  • 1Department of Orthopaedics, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, UK. baskaran.komarasamy@gmail.com

Annals of the Royal College of Surgeons of England
|August 11, 2007
PubMed

Insights

Hip fracture surgery following myocardial infarction (MI) is associated with high mortality rates. Patients experienced 45.4% 1-month and 63.5% 6-month mortality, highlighting critical risks for this patient group.

Area of Science:

  • Orthopedic Surgery
  • Cardiology
  • Geriatric Medicine

Background:

  • Elective surgery is generally postponed for 6 months post-myocardial infarction (MI).
  • Femoral neck fractures necessitate urgent surgical intervention, posing risks of complications from prolonged immobilization.
  • Limited data exists on mortality for hip fracture patients with recent MI undergoing surgery.

Purpose of the Study:

  • To evaluate the mortality rates of patients who underwent hip fracture surgery within 6 months of a recent myocardial infarction.

Main Methods:

  • Retrospective analysis of 2270 proximal femoral fracture admissions between January 2003 and October 2005.
  • Identified 11 patients with recent myocardial infarction undergoing hip fracture surgery.
  • Collected data on patient demographics, time from MI to surgery, and mortality outcomes.

Main Results:

  • The study included 11 patients (8 female), with an average age of 78.2 years.
  • Average time from myocardial infarction to surgery was 11.2 days.
  • Mortality rates were 45.4% at 1 month and 63.5% at 6 months post-surgery.

Conclusions:

  • Mortality rates for hip fracture patients with recent MI are significantly higher than general hip fracture populations.
  • Findings underscore the need for careful peri-operative planning and prognosis discussion for these high-risk patients.
Abstract

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