PROGNOSIS OF POST-OPERATIVE MYOCARDIAL INFRACTION IN ELDERLY AND SENILE PATIENTS AFTER HIP ARTHROPLASTY
https://doi.org/10.21292/2078-5658-2017-14-2-14-19
Abstract
The retrospective study was conducted aimed at the detection of risk factors of myocardial infection in elderly and senile patients after hip arthroplasty. Materials and methods. 303 elderly and senile patients (older than 65 years old) with subcapital fracture and consequent hip arthroplasty were enrolled into the study. Logistic regression equations were used for assessment of prognostic value of signs of myocardial infraction development. Results. In the early post-operative period myocardial infraction developed in 12 cases (3.9%). The following controlable and uncontrolable risk factors were detected in elderly and senile patients, most significant are presented first: cardial risk as per K.A. Eagle score – 2 scores and more, acute post-operative anemia with hemoglobin level below 95 g/l and type of anesthesia. The indicator integrating these three rates had the highest prognostic value.
About the Authors
V. V. Kuzmin
Ural State Medical University, Yekaterinburg
Russian Federation
Doctor of Medical Sciences, Professor of Anesthesiology, Intensive Care and Transfusion Medicine Department for Professional Development of Doctors
Russian Federation
Doctor of Medical Sciences, Professor of Anesthesiology, Intensive Care and Transfusion Medicine Department for Professional Development of Doctors
O. A. Menschikova
Municipal Traumatologic Hospital no. 35, Yekaterinburg
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician
S. I. Solodushkin
Ural Federal University named after the first President of Russia B. N. Yeltsin, Yekaterinburg
Russian Federation
Candidate of Physico-Mathematical Sciences, Associate Professor of Computational Mathematics
Russian Federation
Candidate of Physico-Mathematical Sciences, Associate Professor of Computational Mathematics
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Review
For citations:
Kuzmin V.V., Menschikova O.A., Solodushkin S.I. PROGNOSIS OF POST-OPERATIVE MYOCARDIAL INFRACTION IN ELDERLY AND SENILE PATIENTS AFTER HIP ARTHROPLASTY. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(2):14-19. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-2-14-19
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