RT info:eu-repo/semantics/article
T1 Mortality in patients undergoing open aortoiliac surgery : prognostic value of troponin T in tehe inmediate postoperative period
A1 Brizuela Sanz, José Antonio
A1 González Fajardo, José Antonio
A1 Mengibar Fuentes, Lucas
A1 Salvador Calvo, Roberto
A1 Carpintero Mediavilla, Luis Alberto
A1 Vaquero Puerta, Carlos
K1 Cardiovascular, Aparato - Enfermedades
K1 Cirugía operatoria
AB Background: Patients undergoing open aortoiliac surgery constitute a high-risk subgroup. Theaim of this study was to evaluate the relationship between postoperative troponin T (TnT) elevationwith the associated postoperative mortality, and mean hospital stay.Methods: This was a prospective observational study of consecutive patients who underwentopen aortoiliac surgery during 2006. TnT levels in the first 72 hours after the operation, immediatemortality, 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 theFisher’s exact test) was used for qualitative variables and the ManneWhitney test for quantitativevariables.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 betweengroups. Mortality in patients with elevated TnT levels was significantly higher (42% comparedwith 3.92%; relative risk 10.93 ± 0.76; p ¼ 0.001). Likewise, their mean postoperative intensivecare 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 dayscompared with 12.47 ± 2.21).Conclusion: TnT level in the immediate postoperative period is a highly relevant indicator ofprognosis in patients undergoing major vascular surgery
PB Elsevier
SN 0890-5096
YR 2013
FD 2013
LK http://uvadoc.uva.es/handle/10324/3388
UL http://uvadoc.uva.es/handle/10324/3388
LA eng
NO Angiology and Vascular Surgery Division, 2010, vol.24. p.747-751
NO Producción Científica
DS UVaDOC
RD 22-dic-2024