Postoperative cardiovascular events and risk factors in older orthopedic patients
10.3760/cma.j.cn115455-20230404-00326
- VernacularTitle:高龄骨科患者术后心血管事件及其危险因素
- Author:
Jun YU
1
;
Jing TAN
;
Yanyan CHU
;
Dewei WU
;
Shibao LU
;
Chunlin YIN
Author Information
1. 首都医科大学宣武医院心内科，北京 100053
- Keywords:
Aged;
Risk factors;
Orthopedic surgery;
Cardiovascular event
- From:
Chinese Journal of Postgraduates of Medicine
2023;46(11):1037-1040
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the incidence and risk factors of postoperative cardiovascular events in older orthopedic patients.Methods:The clinical data of 316 older patients undergoing orthopedic surgery from May 2018 to December 2021 in Xuanwu Hospital, Capital Medical University were retrospectively analyzed. The independent risk factors of postoperative cardiovascular events in elderly orthopedic surgery patients were analyzed.Results:Among the 316 elderly orthopedic surgery patients, 10 patients experienced postoperative cardiovascular events (event group), and 306 patients did not experience postoperative cardiovascular events (non-event group). There were no statistical differences in gender composition, age, operation method, American Association of Anesthesiologists (ASA) classification, operation time, postoperative hospital stay, nutritional status, weakness degree, ability of daily life (ADL) and the proportions of percutaneous coronary intervention (PCI) + coronary artery bypass grafting (CABG) + old myocardial infarction (OMI), hypertension, diabetes, atrial fibrillation, old cerebral infarction, peripheral artery stenosis between two groups ( P>0.05). The proportion of coronary heart disease in event group was significantly higher than that in non-event group: 6/10 vs. 19.93% (61/306), and there was statistical difference ( P<0.01). Multivariate Logistic regression analysis result showed that coronary heart disease was the independent risk factor of postoperative cardiovascular complications in older orthopedic patients ( OR = 4.63, 95% CI 1.22 to 17.56, P<0.05). Conclusions:Accompanying coronary heart disease can increase the incidence of postoperative cardiovascular events in older orthopedic patients, but cardiovascular events do not prolong the length of hospital stay.
