PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 2, APRIL 2018

PREOPERATIVE TWO DIMENSIONAL ECHOCARDIOGRAPHY IN PATIENTS WITH LOWER LIMB FRACTURES; ITS RELATIONSHIP WITH TIME OF SURGERY, POSTOPERATIVE AMBULATION AND HOSPITAL STAY

Anas Bin Saif, Sohail Hafeez, Nadeem Chaudhary, Usama Bin Zubair*

Abstract

Objective: To determine the effect of two dimensional echocardiography on time of surgery, post-operative ambulation and hospital stay among patients with lower limb fractures.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Combined Military Hospital Rawalpindi, from Sep 2015 to Dec 2015.
Patients and Methods: A total of 123 patients were included in study based on non-probability convenient sampling who presented with lower limb fractures. The patients were divided into two groups, group A included those who underwent only electrocardiogram (ECG) for assessment and group B included those patients who were further assessed by echocardiography.
Results: There was significant delay in group B patients from time of admission to surgery (p=0.0001) as well as post-operative ambulation (p=0.0001) and mean hospital stay was also longer (p=0.0005). However the postoperative complications were similar in two groups.
Conclusion: Pre-operative cardiac evaluation by echocardiography is associated with delay in surgery and increases overall hospital stay. The implementation of the American College of Cardiology/American Heart Association guidelines may prevent unnecessary cardiac consultations which can minimize use of preoperative resources, delay in time of surgery and early post-operative recovery.

Keywords : American College of Cardiology/ American Heart Association guidelines, Delay in surgery, Echocardiography, Fracture fixation, Lower limb fractures.



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