2024-03-29T05:52:46Zhttps://uvadoc.uva.es/oai/requestoai:uvadoc.uva.es:10324/33882022-03-30T08:19:25Zcom_10324_1138com_10324_931com_10324_894col_10324_1226
Mortality in patients undergoing open aortoiliac surgery : prognostic value of troponin T in tehe inmediate postoperative period
Brizuela Sanz, José Antonio
González Fajardo, José Antonio
Mengibar Fuentes, Lucas
Salvador Calvo, Roberto
Carpintero Mediavilla, Luis Alberto
Vaquero Puerta, Carlos
Cardiovascular, Aparato - Enfermedades
Cirugía operatoria
Producción Científica
Background: Patients undergoing open aortoiliac surgery constitute a high-risk subgroup. The
aim of this study was to evaluate the relationship between postoperative troponin T (TnT) elevation
with the associated postoperative mortality, and mean hospital stay.
Methods: This was a prospective observational study of consecutive patients who underwent
open aortoiliac surgery during 2006. TnT levels in the first 72 hours after the operation, immediate
mortality, postoperative care unit stay, and total postoperative hospital stay were recorded.
Statistical analyses were performed with the program SPSS 14.0; the chi-square test (or the
Fisher’s exact test) was used for qualitative variables and the ManneWhitney test for quantitative
variables.
Results: Of the 65 patients included in the study, postoperative TnT was elevated in 14 (21.5%)
patients. No significant differences were found in age, sex, hypertension, dyslipidemia, smoking,
diabetes mellitus, ischemic heart disease, heart failure, bronchopathy, or renal failure between
groups. Mortality in patients with elevated TnT levels was significantly higher (42% compared
with 3.92%; relative risk 10.93 ± 0.76; p ¼ 0.001). Likewise, their mean postoperative intensive
care unit stay was significantly greater (23.21 ± 6.96 days compared to 2.86 ± 1.96; p < 0.001).
This finding resulted in a significantly longer postoperative hospital stay (32.57 ± 25.38 days
compared with 12.47 ± 2.21).
Conclusion: TnT level in the immediate postoperative period is a highly relevant indicator of
prognosis in patients undergoing major vascular surgery
2013-08-28
2013-08-28
2013
info:eu-repo/semantics/article
Angiology and Vascular Surgery Division, 2010, vol.24. p.747-751
0890-5096
http://uvadoc.uva.es/handle/10324/3388
10.1016/j.avsg.2010.01.012
747
751
Angiology and Vascular Surgery Division
24
eng
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/
Attribution-NonCommercial-NoDerivs 3.0 Unported
Elsevier