Contemporary Rates of Preoperative Cardiac Testing Prior to Inpatient Hip Fracture Surgery

Research output: Contribution to journalArticle

Abstract

Hip fracture is a common reason for urgent inpatient surgery. In the past few years, several professional societies have identified preoperative echocardiography and stress testing for noncardiac surgeries as low-value diagnostics. We utilized data on hospitalizations with a primary diagnosis of hip fracture surgery between 2011 and 2015 from the State Inpatient Databases (SID) of Maryland, New Jersey, and Washington, combined with data on hospital characteristics from the American Hospital Association (AHA). We found that the rate of preoperative ischemic testing is surprisingly but encouragingly low (stress tests 1.1% and cardiac catheterizations 0.5%), which is consistent with studies evaluating the outpatient utilization of these tests for low-and intermediate-risk surgeries. The rate of echocardiograms was 12.6%, which was higher than other published reports. Our findings emphasize the importance of ensuring that quality improvement efforts are directed toward areas where quality improvement is, in fact, needed.

Original languageEnglish (US)
Pages (from-to)224-228
Number of pages5
JournalJournal of hospital medicine
Volume14
Issue number4
DOIs
StatePublished - Apr 1 2019

Fingerprint

Hip Fractures
Inpatients
Quality Improvement
American Hospital Association
Stress Echocardiography
Cardiac Catheterization
Exercise Test
Hospitalization
Outpatients
Databases

ASJC Scopus subject areas

  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

Cite this

Contemporary Rates of Preoperative Cardiac Testing Prior to Inpatient Hip Fracture Surgery. / Ellenbogen, Michael; Brotman, Daniel; Prichett, Laura; Li, Ximin; Feldman, Leonard.

In: Journal of hospital medicine, Vol. 14, No. 4, 01.04.2019, p. 224-228.

Research output: Contribution to journalArticle

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