Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F24%3AE0111104" target="_blank" >RIV/00843989:_____/24:E0111104 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/24:00137414 RIV/61988987:17110/24:A2503AIF

Result on the web

<a href="https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-024-02745-w" target="_blank" >https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-024-02745-w</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12871-024-02745-w" target="_blank" >10.1186/s12871-024-02745-w</a>

Result language

angličtina

Original language name

Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study

Original language description

Background: There are conflicting data on the relationship between preoperative electrocardiogram and postoperative mortality. We aimed to assess the predictive value of preoperative ECG on postoperative all-cause mortality in patients undergoing non-cardiac surgery (NCS). Methods: We retrospectively reviewed records of hospitalized patients who underwent an internal preoperative examination and subsequent NCS in the years 2015-2021. We recorded patient comorbidities, vital functions, results of biochemical tests, ECG. The primary end point was 90-day postoperative all-cause mortality, acquired from the hospital records and the nationwide registry run by the Institute of Health Information and Statistics of the Czech Republic. Results: We enrolled a total of 2219 patients of mean age 63 years (48% women). Of these, 152 (6.8%) died during the 90-day postoperative period. There were statistically significant associations between increased 90-day postoperative all-cause mortality and abnormal ECG findings in resting heart rate (? 80 bpm, relative risk [RR] = 1.82 and ? 100 bpm, RR = 2.57), presence of atrial fibrillation (RR = 4.51), intraventricular conduction delay (QRS > 0.12 s, RR = 2.57), ST segment changes and T wave alterations, left bundle branch hemiblock (RR = 1.64), and right (RR = 2.04) and left bundle branch block (RR = 4.13), but not abnormal PQ and QT intervals, paced rhythm, incomplete right bundle branch block, or other ECG abnormalities. A resting heart rate (? 80 bpm, relative risk [RR] = 1.95 and ? 100 bpm, RR = 2.20), atrial fibrillation (RR = 2.10), and right bundle branch block (RR = 2.52) were significantly associated with 90-day postoperative all-cause mortality even in subgroup of patients with pre-existing cardiac comorbidities. Conclusions: Patients with abnormal preoperative ECG findings face an elevated risk of all-cause mortality within 90 days after surgery. The highest mortality risk is observed in patients with atrial fibrillation a...

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

BMC Anesthesiology

ISSN

1471-2253

e-ISSN

—

Volume of the periodical

24

Issue of the periodical within the volume

article 348

Country of publishing house

GB - UNITED KINGDOM

Number of pages

8

Pages from-to

1-8

UT code for WoS article

001325691200001

EID of the result in the Scopus database

2-s2.0-85205447367