Perioperative cardiovascular risk after intermediate- or high-risk noncardiac surgery. Circulatory System
Conditions
Interventions
Patients who are at increased cardiovascular risk when undergoing intermediate- or high-risk noncardiac surgery during hospitalization will be recruited. All patients will be routinely treated with pe
Sponsors
Chinese PLA General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. = 65 years old, or = 50 years old with a history of cardiovascular disease (CVD) or CV risk factors (e.g., smoking, obesity, hypertension, diabetes, and dyslipidemia). 2. Treated with intermediate- or high-risk noncardiac surgery according to the criteria of the ESC/ESA surgical risk score and with a postoperative stay of = 2 days.
Exclusion criteria
Exclusion criteria: Patients were excluded if one of the following was met: 1. Cardiac surgery or MI within 14 days before admission 2. Surgery involving a cardiac surgeon 3. Low-risk noncardiac surgery 4. No cTn measurement within 14 days before surgery or 3 days after surgery 5. Elevated preoperative cTn level 6. Lost to follow-up after discharge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Impact of perioperative myocardial injury/infarction (PMI) on 30-day mortality measured using patient medical records at one time point | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications measured using patient medical records at one time point include: 1. Acute coronary syndrome (ACS) 2. The Clavien-Dindo classification of surgical complications 3. 30-day mortality | — |
Countries
China
Contacts
Public ContactShaozhi Xi
Outcome results
None listed