Perioperative assessment and management of cardiovascular risk in patients undergoing noncardiac surgery who under the care of surgical and medical co-management.
Not Applicable
Completed
- Conditions
- Perioperative cardiovascular risk after intermediate- or high-risk noncardiac surgery.Circulatory System
- Registration Number
- ISRCTN58897355
- Lead Sponsor
- Chinese PLA General Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 623
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
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
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Impact of perioperative myocardial injury/infarction (PMI) on 30-day mortality measured using patient medical records at one time point
- Secondary Outcome Measures
Name Time Method Postoperative complications measured using patient medical records at one time point include:<br>1. Acute coronary syndrome (ACS)<br>2. The Clavien-Dindo classification of surgical complications<br>3. 30-day mortality