Previously undiagnosed aortic stenosis revealed by auscultation in the hip fracture population - Echocardiographic findings, management and outcome

Anaesthesia

Volumn 64, Issue 8, 2009, Pages 863-870

  McBrien, Michael E ^a   Heyburn, G ^a   Stevenson, M ^b   McDonald, S ^a   Johnston, N J ^a   Elliott, J R M ^a   Beringer, T R O ^a  

^a ROYAL VICTORIA HOSPITAL   (United Kingdom)

^b QUEEN'S UNIVERSITY BELFAST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AORTA STENOSIS; ARTICLE; BLOOD PRESSURE MONITORING; CONTROLLED STUDY; ECHOCARDIOGRAPHY; FEMALE; GENERAL ANESTHESIA; HEART AUSCULTATION; HEART MURMUR; HIP FRACTURE; HUMAN; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; MORTALITY; PREOPERATIVE EVALUATION; SPINAL ANESTHESIA;

AGE FACTORS; AGED; AGED, 80 AND OVER; ANESTHESIA, GENERAL; ANESTHESIA, SPINAL; AORTIC VALVE STENOSIS; FEMALE; HEART MURMURS; HIP FRACTURES; HUMANS; INCIDENTAL FINDINGS; MALE; MIDDLE AGED; NERVE BLOCK; PREOPERATIVE CARE; PROGNOSIS; PSYCHOMETRICS; SEVERITY OF ILLNESS INDEX; SURVIVAL ANALYSIS;

EID: 67650653504     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2009.05960.x     Document Type: Article

References (22)

1. National Confidential Enquiry into Perioperative Deaths. The Report of the National Confidential Enquiry into Perioperative Deaths 1994/1995. London: NCEPOD, 1997.
2. National Confidential Enquiry into Perioperative Deaths. Changing the way we operate. The 2001 Report of the National Confidential Enquiry into Perioperative Deaths. London: NCEPOD, 2001.
3. Sandby-Thomas M, Sullivan G, Hall JE. A national survey into the peri-operative anaesthetic management of patients presenting for surgical correction of a fractured neck of femur. Anaesthesia 2008; 63: 250-258 (Pubitemid 351257783)
4. Etchells E, Bell C, Robb K. Does this patient have an abnormal systolic murmur? Journal of the American Medical Association 1997; 277: 564-571
5. Ramaraj R, Sorrell VL. Degenerative aortic stenosis. British Medical Journal 2008; 336: 550-555
6. Quershi KN, Hodkinson HM. Evaluation of a ten-question mental test in the institutionalised elderly. Age and Ageing 1974; 3: 152-157
7. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Maryland State Medical Journal 1965; 14: 61-65
8. British Society of Echocardiography Education Committee 2006. Echocardiography: Guidelines for Valve Quantification. http://www.bsecho.org/ Guidelines%20for%20Valve%20 Quantification.pdf (accessed 19 February 2009).
9. Goldman L. Cardiac risk in noncardiac surgery: an update. Anaesthesia and Analgesia 1995; 80: 810-820
10. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999; 100: 1043-1049 (Pubitemid 29416229)
11. Torsher LC, Shub C, Rettke SR, Brown DL. Risk of patients with severe aortic stenosis undergoing noncardiac surgery. American Journal of Cardiology 1998; 81: 448-452 (Pubitemid 28099536)
12. Adunsky A, Kaplan A, Arad M, Mizrahi E, Gottlieb S. Aortic stenosis in elderly hip fractured patients. Archives of Gerontology and Geriatrics 2008; 46: 401-408
13. Rosenhek R, Klaar U, Schemper M, et al. Mild and moderate aortic stenosis. European Heart Journal 2004; 25: 199-205.
14. Guryel E, Redfern DJ, Ricketts DM. Balancing priorities in the management of hip fractures: guidelines versus resources. Annals of the Royal College of Surgeons of England 2004; 86: 171-173 (Pubitemid 38607563)
15. McDonald SB. Is neuraxial blockade contraindicated in the patient with aortic stenosis? Regional Anesthesia and Pain Medicine 2004; 29: 496-502.
16. Collard CD, Eappen S, Lynch P, Concepcion M. Continuous spinal anaesthesia with invasive hemodynamic monitoring for surgical repair of the hip in two patients with aortic stenosis. Anesthesia and Analgesia 1995; 81: 195-198
17. Donaldson AJ, Thomson HE, Harper NJ, Kenny NW. Bone cement implantation syndrome. British Journal of Anaesthesia 2009; 102: 12-22.
18. Scottish Intercollegiate Guidelines Network. Management of elderly people with fractured hip. Edinburgh: SIGN 56, 2002.
19. British Orthopaedic Association. The care of patients with fragility fracture. London: British Orthopaedic Association, 2007.
20. Scottish Hip Fracture Audit 2008. Edinburgh: Information Services Division Scotland Publications. http://www.shfa.scot.nhs.uk/AnnualReport/SHFA- Report-2008.pdf (accessed 9 March 2009).
21. Department of Health, Social Services and Public Safety. Priorities for Action 2008/2009. http://www.dhsspsni. gov.uk/pfa0809.pdf (accessed 25 February 2009).
22. Sharrock NE. Fractured femur in the elderly: intensive perioperative care is warranted. British Journal of Anaesthesia 2000; 84: 139-140 (Pubitemid 30060293)