Polok, Kamil and Biccard, Bruce M. and Chan, Matthew T. V. and Archbold, R. Andrew and Wang, Chew Yin and Sigamani, Alben and Urrutia, Gerard and Cruz, Patricia and Srinathan, Sadeesh K. and Szalay, David and Harlock, John and Tittley, Jacques G. and Elias, Fadi and Jacka, Michael J. and Malaga, German and Berwanger, Otavio and Studzinska, Dorota and Gorka, Jacek and Montes, Felix R. and Chow, Clara K. and Ackland, Gareth L. and Dubois, Luc and Sapsford, Robert J. and Williams, Colin and Cortes, Olga L. and Devereaux, Philip J. and Szczeklik, Wojciech (2024) Mortality and major postoperative complications within 1 year after vascular surgery: a prospective cohort study. Polish Archives of Internal Medicine-Polskie Archiwum Medycyny Wewnetrznej, 134 (2). ISSN 0032-3772, DOI https://doi.org/10.20452/pamw.16645.
Full text not available from this repository.Abstract
INTRODUCTION Patients undergoing vascular procedures are prone to developing postoperative complications affecting their short -term mortality. Prospective reports describing the incidence of long -term complications after vascular surgery are lacking. OBJECTIVES We aimed to describe the incidence of complications 1 year after vascular surgery and to evaluate an association between myocardial injury after noncardiac surgery (MINS) and 1 -year mortality. PATIENTS AND METHODS This is a substudy of a large prospective cohort study Vascular Events in Noncardiac Surgery Patients Cohort Evaluation (VISION). Recruitment took place in 28 centers across 14 countries from August 2007 to November 2013. We enrolled patients aged 45 years or older undergoing vascular surgery, receiving general or regional anesthesia, and hospitalized for at least 1 night postoperatively. Plasma cardiac troponin T concentration was measured before the surgery and on the first, second, and third postoperative day. The patients or their relatives were contacted 1 year after the procedure to assess the incidence of major postoperative complications. RESULTS We enrolled 2641 patients who underwent vascular surgery, 2534 (95.9%) of whom completed 1 -year follow -up. Their mean (SD) age was 68.2 (9.8) years, and the cohort was predominantly male (77.5%). The most frequent 1 -year complications were myocardial infarction (224/2534, 8.8%), amputation (187/2534, 7.4%), and congestive heart failure (67/2534, 2.6%). The 1 -year mortality rate was 8.8% (223/2534). MINS occurred in 633 patients (24%) and was associated with an increased 1 -year mortality (hazard ratio, 2.82; 95% CI, 2.14-3.72; P <0.001). CONCLUSIONS The incidence of major postoperative complications after vascular surgery is high. The occurrence of MINS is associated with a nearly 3 -fold increase in 1 -year mortality.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | myocardial injury after noncardiac surgery; postoperative complications; vascular surgery |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Anaesthesiology Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 12 Nov 2024 07:00 |
| Last Modified: | 12 Nov 2024 07:00 |
| URI: | http://eprints.um.edu.my/id/eprint/45828 |
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