@article{ref1,
title="Decreased left ventricular (LV) function is associated with hip-fractures",
journal="Archives of gerontology and geriatrics",
year="2014",
author="Jansen, Sofie and Koster, Rudolph W. and de Lange, Frederik J. and Goslings, J. Carel and Schafroth, Matthias U. and de Rooij, Sophia E. and van der Velde, Nathalie",
volume="60",
number="1",
pages="103-107",
abstract="BACKGROUND: Several risk factors for falls and hip-fractures have been recognized, but controversy still exists toward the importance of structural cardiac abnormalities as a potentially modifiable risk factor for recurrent falls. Aim of this study was to determine the association between echocardiographic abnormalities and hip-fractures. <br><br>METHODS: Design case-control study within consecutive patients undergoing hip-surgery in an academic hospital. Cases: patients with traumatic hip-fractures. Controls: patients undergoing planned hip surgery (non-traumatic). Inclusion criteria: age≥50 years, presence of pre-operative echocardiogram. Exclusion criteria: high energy trauma, pathological and/or previous hip-fracture. Outcome: echocardiographic abnormalities (ventricular function, atrial enlargement, valve stenosis and/or regurgitation, pulmonary hypertension (pulmonary artery pressure (PAP) ≥35mmHg)). Multivariate logistic regression was performed to calculate odds ratios (OR) and to correct for confounders. <br><br>RESULTS: We included 197 patients (141 cases). Mean age was 77 years (SD), 65% female. After adjustment for potential confounders, decreased LV systolic function was associated with hip-fractures (OR 3.2 [95%CI 1.1-9.1]). Increasing severity of LV dysfunction was also associated with hip-fractures (p for trend=0.012). <br><br>DISCUSSION: In conclusion, patients with traumatic hip-fracture had greater risk of decreased LV function than patients who underwent planned hip-surgery. Possibly, decreased LV function is an underestimated risk factor for injurious falls.<p /> <p>Language: en</p>",
language="en",
issn="0167-4943",
doi="10.1016/j.archger.2014.09.002",
url="http://dx.doi.org/10.1016/j.archger.2014.09.002"
}