ID | 114189 |
Title Alternative | Echocardiography and Non-Cardiac Surgery
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Author |
Kusunose, Kenya
Tokushima University
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Torii, Yuta
Tokushima University
Yamada, Hirotsugu
Tokushima University
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Nishio, Susumu
Tokushima University
Hirata, Yukina
Tokushima University
Saijo, Yoshihito
Tokushima University
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Ise, Takayuki
Tokushima University
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Yamaguchi, Koji
Tokushima University
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Yagi, Shusuke
Tokushima University
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Soeki, Takeshi
Tokushima University
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Wakatsuki, Tetsuzo
Tokushima University
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Sata, Masataka
Tokushima University
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Keywords | Echocardiography
Non-cardiac surgery
Risk assessment
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Content Type |
Journal Article
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Description | Background: Whether preoperative echocardiography improves postoperative outcomes is not well established, so we examined the value of echocardiographic assessment on the onset of postoperative heart failure (HF), and determining which patients benefitted most from undergoing echocardiography prior to major elective non-cardiac surgery.
Methods and Results: We identified all patients aged 50 years and older who had major elective non-cardiac surgery, and excluded patients with previously identified severe cardiovascular disease. The primary endpoint was the onset of HF during hospitalization. A total of 806 patients were included in the analysis. During hospitalization, 49 patients (6%) reached the primary endpoint. Within the matched cohort, preoperative echocardiography was associated with a statistically significant decrease in postoperative HF (hazard ratio: 0.46, P=0.01). In subgroup analyses, age, sex, body surface area, hypertension, diabetes mellitus, prior HF, surgical type, chronic kidney disease, pulmonary disease, and malignancy influenced the association of echocardiography with postoperative HF. Conclusions: The use of echocardiography in elderly patients with certain risk factors was associated with improved postoperative outcomes. The basis for this finding remains to be determined; particularly whether echocardiography is simply a marker of a population with better outcomes or whether it leads to better management that improves outcomes. |
Journal Title |
Circulation Journal
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ISSN | 13469843
13474820
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NCID | AA11591968
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Publisher | The Japanese Circulation Society
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Volume | 83
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Issue | 12
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Start Page | 2512
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End Page | 2519
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Published Date | 2019-11-25
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
University Hospital
Medical Sciences
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