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ID 114189
タイトル別表記
Echocardiography and Non-Cardiac Surgery
著者
Torii, Yuta Tokushima University
Nishio, Susumu Tokushima University
Hirata, Yukina Tokushima University
キーワード
Echocardiography
Non-cardiac surgery
Risk assessment
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
Circulation Journal
ISSN
13469843
13474820
cat書誌ID
AA11591968
出版者
The Japanese Circulation Society
83
12
開始ページ
2512
終了ページ
2519
発行日
2019-11-25
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
病院
医学系