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Isolated cardiac troponin rise does not modify the prognosis in elderly patients with hip fracture.
Medicine (Baltimore)
February 2017
Sorbonne Universités UPMC Univ Paris 06, DHU FAST UMRS INSERM 1166, IHU ICAN UMRS INSERM 1158 Department of Geriatry Department of Anesthesiology and Critical Care Department of Emergency Medicine and Surgery Department of Orthopedic Surgery and Trauma Groupe Hospitalier (GH) Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France Departments of Anesthesia & Clinical Epidemiology and Biostatistics, Michael DeGroote School of Medicine, Population Health Research Institute, Perioperative Medicine and Surgical Research Unit, Faculty of Health Sciences, McMaster University, Hamilton, Canada Department of Rehabilitation, GH Charles Foix, APHP, Ivry sur Seine Centre National de la Recherche Scientifique (CNRS), Paris, France.
Perioperative myocardial infarction remains a life-threatening complication in noncardiac surgery and even an isolated troponin rise (ITR) is associated with significant mortality. Our aim was to assess the prognostic value of ITR in elderly patients with hip fracture.In this cohort study, all patients admitted between 2009 and 2013 in our dedicated geriatric postoperative unit after hip fracture surgery with a cardiac troponin I determination were included and divided into Control, ITR, and acute coronary syndrome (ACS) groups.
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