High-sensitive cardiac troponin T measurements in prediction of non-cardiac complications after major abdominal surgery†   P.G. Noordzij, O. van Geffen,

Slides:



Advertisements
Similar presentations
Non-invasive ventilation for weaning, avoiding reintubation after extubation and in the postoperative period: a meta-analysis  A.J. Glossop, N. Shepherd,
Advertisements

Preventing surgical deaths: critical care and intensive care outreach services in the postoperative period  D.R. Goldhill  British Journal of Anaesthesia 
Human factors in anaesthesia: lessons from aviation
Incidence and predictors of major perioperative adverse cardiac and cerebrovascular events in non-cardiac surgery  S. Sabaté, A. Mases, N. Guilera, J.
Francesca Mallamaci, MD, Giovanni Tripepi, PhD 
The Effect of beta-blockade on objectively measured physical fitness in patients with abdominal aortic aneurysms – A blinded interventional study  M.A.
Benefits and risks of epidural analgesia in cardiac surgery†
Preoperative blood glucose concentrations and postoperative outcomes after elective non-cardiac surgery: an observational study†   B.B. Abdelmalak, J.
Supplemental oxygen and surgical site infection: getting to the truth
Intraoperative hypotension and delirium after on-pump cardiac surgery†
Characteristics of pain in hospitalized medical patients, surgical patients, and outpatients attending a pain management centre  M.P. Rockett, G. Simpson,
Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion  Martha M. Wynn, MD,
Xenon anaesthesia for patients undergoing off-pump coronary artery bypass graft surgery: a prospective randomized controlled pilot trial†  L. Al tmimi,
Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of.
K. Richardson, D.Z.H. Levett, S. Jack, M.P.W. Grocott 
Tracheal intubation by trainees does not alter the incidence or duration of postoperative sore throat and hoarseness: a teaching hospital-based propensity.
D. M. Baron, H. Hochrieser, M. Posch, B. Metnitz, A. Rhodes, R. P
Injuries associated with anaesthesia. A global perspective
Postoperative complications after common femoral endarterectomy
Cognitive function after sevoflurane- vs propofol-based anaesthesia for on-pump cardiac surgery: a randomized controlled trial  J. Schoen, L. Husemann,
Preoperative abnormalities in serum sodium concentrations are associated with higher in-hospital mortality in patients undergoing major surgery  M. Cecconi,
Postoperative delirium portends descent to dementia
Changes in glomerular filtration rate after cardiac surgery with cardiopulmonary bypass in patients with mild preoperative renal dysfunction  B.G. Loef,
Dexamethasone alone vs in combination with transcutaneous electrical acupoint stimulation or tropisetron for prevention of postoperative nausea and vomiting.
Elevated cardiac troponin T contributes to prediction of worse in-hospital outcomes after endovascular therapy for acute limb ischemia  Birgit Linnemann,
Perioperative myocardial injury in patients receiving cardiac output-guided haemodynamic therapy: a substudy of the OPTIMISE Trial  M.A. Gillies, A.S.V.
Postoperative pulmonary complications
Perioperative statin therapy in patients at high risk for cardiovascular morbidity undergoing surgery: a review  B.A. de Waal, M.P. Buise, A.A.J. van.
Preoperative estimated glomerular filtration rate and the risk of major adverse cardiovascular and cerebrovascular events in non-cardiac surgery‡  A.
Preoperative heart rate and myocardial injury after non-cardiac surgery: results of a predefined secondary analysis of the VISION study  T.E.F. Abbott,
Perioperative outcomes in the context of mode of anaesthesia for patients undergoing hip fracture surgery: systematic review and meta-analysis  C.M. O'Donnell,
A. Duma, C. Wagner, M. Titz, M. Maleczek, M. Hüpfl, V. B. Weihs, E
Role of N-terminal pro B-type natriuretic peptide in identifying patients at high risk for adverse outcome after emergent non-cardiac surgery  S. Farzi,
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries    British Journal of Anaesthesia 
Reduced cerebral oxygen saturation measured by absolute cerebral oximetry during thoracic surgery correlates with postoperative complications  R. Kazan,
Preoperative supplementation with fibrinogen concentrate in cardiac surgery: A randomized controlled study  A. Jeppsson, K. Waldén, C. Roman-Emanuel,
Raised serum cardiac troponin I concentrations predict hospital mortality in intensive care unit patients†  T. Reynolds, M. Cecconi, P. Collinson, A.
Measuring quality of recovery-15 after day case surgery
C.C. Jørgensen, H. Kehlet  British Journal of Anaesthesia 
I. Merino, X. Borrat, J. Balust, S. Delgado, A. M. Lacy, J. Vidal, G
C. Cozowicz, J. Poeran, S.G. Memtsoudis  British Journal of Anaesthesia 
Premedication with controlled-release oxycodone does not improve management of postoperative pain after day-case gynaecological laparoscopic surgery 
Effect of length of stay in intensive care unit on hospital and long-term mortality of critically ill adult patients  T.A. Williams, K.M. Ho, G.J. Dobb,
Safety culture and the 5 steps to safer surgery: an intervention study
Age- and therapy-related effects on morphine requirements and plasma concentrations of morphine and its metabolites in postoperative infants  N.J. Bouwmeester,
Postoperative pulmonary complications, pulmonary and systemic inflammatory responses after lung resection surgery with prolonged one-lung ventilation.
Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery  P.-G. Chassot, A. Delabays, D.R. Spahn 
Neuraxial vs general anaesthesia for total hip and total knee arthroplasty: a systematic review of comparative-effectiveness research  R.L. Johnson, S.L.
Troponin elevations after non-cardiac, non-vascular surgery are predictive of major adverse cardiac events and mortality: a systematic review and meta-analysis 
Spinal analgesia for laparoscopic colonic resection using an enhanced recovery after surgery programme: better analgesia, but no benefits on postoperative.
C. J. Payne, S. C. Gibson, G. Bryce, A. G. Jardine, C. Berry, D. B
Perioperative asymptomatic cardiac damage after endovascular abdominal aneurysm repair is associated with poor long-term outcome  Tamara A. Winkel, MD,
Greater intravenous fluid volumes are associated with prolonged recovery after colorectal surgery: a retrospective cohort study  Z Aga, M Machina, S.A.
Early thromboelastometry variables predict maximum clot firmness in children undergoing cardiac and non-cardiac surgery  A. Perez-Ferrer, J. Vicente-Sanchez,
Effectiveness of platelet inhibition on major adverse cardiac events in non-cardiac surgery after percutaneous coronary intervention: a prospective cohort.
E. -H. Lee, H. -M. Lee, C. -H. Chung, J. -H. Chin, D. -K. Choi, H. -J
Perioperative hospital mortality at a tertiary paediatric institution
Effects of acute plasma volume expansion on renal perfusion, filtration, and oxygenation after cardiac surgery: a randomized study on crystalloid vs colloid 
Increase in endogenous erythropoietin synthesis through the normobaric oxygen paradox in cardiac surgery patients  Y. Ciccarella, C. Balestra, J. Valsamis,
Validity of the 6 min walk test in prediction of the anaerobic threshold before major non- cardiac surgery  R.C.F. Sinclair, A.M. Batterham, S. Davies,
Multivariate model for predicting postoperative blood loss in children undergoing cardiac surgery: a preliminary study  V. Savan, A. Willems, D. Faraoni,
G. Haller, D.S. Courvoisier, H. Anderson, P.S. Myles 
Association between preoperative statin therapy and postoperative change in glomerular filtration rate in endovascular aortic surgery  M.Y. Argalious,
Rocuronium plasma concentrations during three phases of liver transplantation: relationship with early postoperative graft liver function†‡  L. Gao, I.
M. A. Yousef, S. Vaida, M. Somri, J. Mogilner, A. Lanir, A. Tamir, R
S. Radhakrishna  British Journal of Anaesthesia 
Risk scores to facilitate preoperative prediction of transfusion and large volume blood transfusion associated with adult cardiac surgery†  R. Goudie,
Predictors of decreased short- and long-term survival following open abdominal aortic aneurysm repair  Derek P. Nathan, MD, Clayton J. Brinster, MD, Benjamin.
H.D. Aya, M. Cecconi, M. Hamilton, A. Rhodes 
M. N. Vicenzi, T. Meislitzer, B. Heitzinger, M. Halaj, L. A
Presentation transcript:

High-sensitive cardiac troponin T measurements in prediction of non-cardiac complications after major abdominal surgery†   P.G. Noordzij, O. van Geffen, I.M. Dijkstra, D. Boerma, A.J. Meinders, T.C.D. Rettig, F.D. Eefting, D. van Loon, E.M.W. van de Garde, E.P.A. van Dongen  British Journal of Anaesthesia  Volume 114, Issue 6, Pages 909-918 (June 2015) DOI: 10.1093/bja/aev027 Copyright © 2015 The Author(s) Terms and Conditions

Fig 1 Differences in median preoperative cardiac troponin T (cTnT) concentrations according to age (in years), renal function and physical status. eGFR, estimated glomerular filtration rate (in millilitres per minute per 1.73 m2). *P<0.001. British Journal of Anaesthesia 2015 114, 909-918DOI: (10.1093/bja/aev027) Copyright © 2015 The Author(s) Terms and Conditions

Fig 2 Association between postoperative myocardial injury and non-cardiac complications for peak concentration (a), absolute increase (b), and relative increase (c) of cardiac troponin T (cTnT). British Journal of Anaesthesia 2015 114, 909-918DOI: (10.1093/bja/aev027) Copyright © 2015 The Author(s) Terms and Conditions

Fig 3 Incidences of 30 day complications in patients with and without a cTnT increase ≥100%. cTnT, cardiac troponin T. *P<0.05, **P<0.001. British Journal of Anaesthesia 2015 114, 909-918DOI: (10.1093/bja/aev027) Copyright © 2015 The Author(s) Terms and Conditions

Fig 4 Length of hospital stay for patients with and without a cTnT increase ≥100% before any event. cTnT, cardiac troponin T. British Journal of Anaesthesia 2015 114, 909-918DOI: (10.1093/bja/aev027) Copyright © 2015 The Author(s) Terms and Conditions