Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment
Abstract
:1. Introduction
2. Methods
2.1. Study Design, Data Source, and Patient Population
2.2. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Secondary Diagnosis | CIE-9-MC Codes |
---|---|
Acute Myocardial Infarction | 410.0, 410.1 |
Acute Pulmonary Edema or Shock | 427.41, 427.42, 427.5, 518.4, 518.5, 518.51, 518.52, 518.53, 518.81, 518.82, 518.83, 518.84,785.50, 785.51, 798.0, 798.1, 798.2, 798.9, 799.01, 799.02, 998.01 |
Stroke | 433.01; 433.11; 433.21; 433.31; 433.81; 433.91; 434.01; 434.11; 434.91; 436) |
Pulmonary Thromboembolism | 415.1, 415.11, 415.12, 415.13, 415.19 |
Non-HF Group | HF Group | Total | p | ||||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||
Mean age (SD) | 83.5 | ±7.1 | 86.1 | ±6.3 | 83.7 | ±7 | <0.001 |
Women | 169,543 | 77.2 | 10,406 | 77.6 | 179,949 | 77.2 | 0.271 |
History of PTCA | 2215 | 1.0 | 181 | 1.3 | 2396 | 1.0 | <0.001 |
History of CABG | 1111 | 0.5 | 81 | 0.6 | 1192 | 0.5 | 0.221 |
Stroke | 756 | 0.3 | 111 | 0.8 | 867 | 0.4 | <0.001 |
Pulmonary thromboembolism | 378 | 0.2 | 94 | 0.7 | 472 | 0.2 | <0.001 |
Acute pulmonary edema or cardiogenic shock | 5164 | 2.3 | 2439 | 18.2 | 7603 | 3.3 | <0.001 |
Chronic atherosclerosis | 15,912 | 7.2 | 1774 | 13.2 | 17,686 | 7.6 | <0.001 |
Cardio-respiratory failure and shock | 5625 | 2.6 | 2508 | 18.7 | 8133 | 3.5 | <0.001 |
Valvular and rheumatic heart disease | 7608 | 3.5 | 1742 | 13.0 | 9350 | 4.0 | <0.001 |
Hypertension | 118,243 | 53.8 | 7788 | 58.0 | 126,031 | 54.1 | <0.001 |
Renal failure | 17,509 | 8.0 | 3532 | 26.3 | 21,041 | 9.0 | <0.001 |
COPD | 14,278 | 6.5 | 1767 | 13.2 | 16,045 | 6.9 | <0.001 |
Pneumonia | 31,601 | 14.4 | 3298 | 24.6 | 34,899 | 15.0 | <0.001 |
Diabetes Mellitus and complications | 52,006 | 23.7 | 3753 | 28.0 | 55,759 | 23.9 | <0.001 |
Protein_calorie malnutrition | 4501 | 2.0 | 630 | 4.7 | 5131 | 2.2 | <0.001 |
Dementia and senility | 44,402 | 20.2 | 2991 | 22.3 | 47,393 | 20.3 | <0.001 |
Hemiplegia, paraplegia, paralysis, functional disability 67–69, 100–102, 177–178 | 5715 | 2.6 | 348 | 2.6 | 6063 | 2.6 | 0.961 |
Peripheral vascular disease | 125,538 | 57.1 | 9169 | 68.3 | 134,707 | 57.8 | <0.001 |
Severe cancers | 2619 | 1.2 | 192 | 1.4 | 2811 | 1.2 | 0.014 |
Trauma CC154–156, 158–161 | 8143 | 3.7 | 603 | 4.5 | 8746 | 3.8 | <0.001 |
Mayor psychiatric disorders | 2319 | 1.1 | 149 | 1.1 | 2468 | 1.1 | 0.544 |
Chronic liver disease | 849 | 0.4 | 58 | 0.4 | 907 | 0.4 | 0.406 |
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Marco-Martínez, J.; Bernal-Sobrino, J.L.; Fernández-Pérez, C.; Elola-Somoza, F.J.; Azaña-Gómez, J.; García-Klepizg, J.L.; Andrès, E.; Zapatero-Gaviria, A.; Barba-Martin, R.; Marco-Martinez, F.; et al. Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment. J. Clin. Med. 2021, 10, 969. https://doi.org/10.3390/jcm10050969
Marco-Martínez J, Bernal-Sobrino JL, Fernández-Pérez C, Elola-Somoza FJ, Azaña-Gómez J, García-Klepizg JL, Andrès E, Zapatero-Gaviria A, Barba-Martin R, Marco-Martinez F, et al. Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment. Journal of Clinical Medicine. 2021; 10(5):969. https://doi.org/10.3390/jcm10050969
Chicago/Turabian StyleMarco-Martínez, Javier, José Luis Bernal-Sobrino, Cristina Fernández-Pérez, Francisco Javier Elola-Somoza, Javier Azaña-Gómez, José Luis García-Klepizg, Emmanuel Andrès, Antonio Zapatero-Gaviria, Raquel Barba-Martin, Fernando Marco-Martinez, and et al. 2021. "Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment" Journal of Clinical Medicine 10, no. 5: 969. https://doi.org/10.3390/jcm10050969