Association between preoperative evaluation with lung ultrasound and outcome in frail elderly patients undergoing orthopedic surgery for hip fractures: study protocol for an Italian multicenter observational prospective study (LUSHIP)
- Autori: Vetrugno, Luigi; Boero, Enrico; Bignami, Elena; Cortegiani, Andrea; Raineri, Santi Maurizio; Spadaro, Savino; Moro, Federico; D'Incà , Stefano; D'Orlando, Loris; Agrò, Felice Eugenio; Bernardinetti, Mattia; Forfori, Francesco; Corradi, Francesco; Pregnolato, Sandro; Mosconi, Mario; Bellini, Valentina; Franchi, Federico; Mongelli, Pierpaolo; Leonardi, Salvatore; Giuffrida, Clemente; Tescione, Marco; Bruni, Andrea; Garofalo, Eugenio; Longhini, Federico; Cammarota, Gianmaria; De Robertis, Edoardo; Giglio, Giuseppe; Urso, Felice; Bove, Tiziana;Lisa Mattuzzi, Nicola Federici, Silvia Delrio, Francesco Meroi, Luca Flaibani, Clara Zaghis, Daniele Orso, Serena Tomasino, Bruno Dottore, Michele Divella, Sabrina Mussetta, Gaia Musso, Angela Minunno, Carlo Barbero, Mattia Puppo, Francesco Saturno, Alberto Nicolò Galvano, Mariachiara Ippolito, Leo Massari, Margherita Bianconi, Gaetano Caruso, Riccardo Ragazzi, Carlo Alberto Volta, Silvia Mongodi, Francesco Mojoli, Filippo Riccone, Sabino Scolletta, Sebastiano Macheda, Serafino Vulcano, Giovanni Cosco, Eugenio Vadalà , Erika Taddei, Alessandro Isirdi
- Anno di pubblicazione: 2021
- Tipologia: Articolo in rivista
- OA Link: http://hdl.handle.net/10447/513226
Abstract
Hip fracture is one of the most common orthopedic causes of hospital admission in frail elderly patients. Hip fracture fixation in this class of patients is considered a high-risk procedure. Preoperative physical examination, plasma natriuretic peptide levels (BNP, Pro-BNP), and cardiovascular scoring systems (ASA-PS, RCRI, NSQIP-MICA) have all been demonstrated to underestimate the risk of postoperative complications. We designed a prospective multicenter observational study to assess whether preoperative lung ultrasound examination can predict better postoperative events thanks to the additional information they provide in the form of "indirect" and "direct" cardiac and pulmonary lung ultrasound signs.