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Troponin Elevation in the Elderly Patient With Hip Fracture

2014-07-24 14:18:16 | BioPortfolio

Summary

Elevated troponin is powerful and independent adverse prognostic marker in patient with ACS. However, non specific (non cardiac) troponin elevation is a common finding among hospitalized patients and worse prognosis too.

The aim of this study is examine the prevalence of incidental cardiac troponin rise in a group of patient aged 65 and over admitted to geriatric department with hip fracture, and influence of troponin elevation on outcomes like ACS, death, motor and cognitive function.

Description

data collection will include epidemiological data (age, gender, living arrangement, basic functional status, fracture date, surgery date, surgery type, length of stay) as well as previous comorbidities. in addition, routine blood tests and baseline ECG will be recorded.

troponin levels will be studied within 24 hours from admission, and 24 hours following surgery. in case of elevated troponin levels, ECG will be repeated, and echocardiography together with a cardiologist evaluation will be carried out.

data regarding in-hospital complications, motor and cognitive function (by FIM scale) and lab will be recorded. after discharge. followup will be recorded every 3 months, up to 1 year period, recoding the above mentioned data.

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Conditions

Hip Fracture

Location

Sheba Medical Center, Geriatric Rehabilitation dept
Ramat Gan
Israel
52621

Status

Recruiting

Source

Sheba Medical Center

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-07-24T14:18:16-0400

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Medical and Biotech [MESH] Definitions

Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)

Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.

The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.

Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.

The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.

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