Perioperative medicine & outcomes
Association of abnormal echocardiographic diastolic parameters and postoperative major adverse cardiac events and mortality in patients undergoing hip fracture surgery: a retrospective cohort study
Authors' conclusion
In patients undergoing hip fracture surgery, a higher burden of abnormal echocardiographic diastolic parameters is associated with increased risk of postoperative MACE and higher short- and intermediate-term mortality.
Study context
- Population
- Adults undergoing hip fracture repair with preoperative transthoracic echocardiography, April 2016–June 2021included in the analysis
- Participants
- 148 adults
- Exposure
- 2-3 vs 0-1 abnormal echocardiographic diastolic parameters
- Outcome
- Postoperative MACE:
- MI
- HF
- Pulmonary edema
- Death
- Follow-up
- 30 days
Main finding
As reported in the abstract
P = 0.011
- Overall postoperative major adverse cardiac events (MACE)
- 15.5%
Observational data: associations, not effects.
Secondary outcomes
1-year all-cause mortality
P = 0.009
2-year all-cause mortality
P = 0.002
Survival (Kaplan-Meier)
- Lower survival with multiple abnormal diastolic parameters, early curve separation persisting through follow-up; overall time-to-event analysis not statistically significant
Original publication
Association of abnormal echocardiographic diastolic parameters and postoperative major adverse cardiac events and mortality in patients undergoing hip fracture surgery: a retrospective cohort study. Perioper Med (Lond). Published 11 April 2026. doi:10.
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