Research Article

Hypovolemic Status in Older Hip Fracture Patients Elucidated by Preoperative Transthoracic Echocardiography

Table 2

Echocardiographic findings of patients with hip fracture and those who underwent total hip arthroplasty (THA).

Hip fracture (n = 167)THA (n = 44)P

End diastolic volume (ml)68.3 (50.9–83.5)79.9 (68.5–90.8)<0.01
End systolic volume (ml)21.9 (16.6–28.3)25.2 (21.4–31.9)<0.01
Ejection fraction (%)67.0 (64.0–71.0)67.5 (63.3–72.0)0.898
Fractional shortening (%)37.0 (34.0–40.0)37.0 (34.0–41.0)0.684
Stroke volume (ml)45.6 (34.2–55.2)50.9 (44.2–64.3)<0.01
Stroke index (ml/m2)33.7 (25.6–40.1)36.6 (32.0–43.9)<0.01
Heart rate (beats/min)78.0 (70.0–86.0)66.5 (61.3–77.5)<0.01
Cardiac output (L/min)3.51 (2.85–4.25)3.48 (3.12–4.28)0.273
Cardiac index (L/min/m2)2.60 (2.03–3.11)2.47 (2.18–2.91)0.855
E/E′14.2 (11.7–16.2) (n = 120)11.6 (10.5–16.3) (n = 39)0.092
Inferior vena cava diameter (mm)12.4 (10.0–14.0) (n = 166)12.5 (10.3–14.0)0.714

E/E′ indicates the ratio of early mitral valve flow velocity (E) to early diastolic mitral annular velocity (E′), and it correlates with left ventricular filling pressure and diastolic function. A septal E′ was used to determine E/E′ and the numbers of patients whose E/E′ could be measured are presented in each cell. Inferior vena cava diameter of one patient in the hip fracture group could not be measured.