We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The incidence of cardiovascular and other major complications after open abdominal aortic surgery.
- Authors
Studzińska, Dorota; Polok, Kamil; Chwała, Maciej; Zaczek, Marcin; Szczeklik, Wojciech
- Abstract
Background: Abdominal aortic aneurysms (AAAs) and peripheral artery disease significantly increase the risk of perioperative complications. Aim: The study aimed to determine the incidence of myocardial injury after noncardiac surgery (MINS), its association with 30-day mortality, as well as predictors of postoperative acute kidney injury (pAKI) and bleeding independently associated with mortality (BIMS) in patients undergoing open vascular surgeries involving the abdominal aorta. Methods: We performed a retrospective cohort study using a sample of consecutive patients who underwent open abdominal aortic surgery due to infrarenal AAA and/or aortoiliac occlusive disease in a single tertiary center. In each patient, at least two postoperative troponin measurements were performed (on the first and second postoperative day). Creatinine and hemoglobin levels were measured preoperatively and at least twice postoperatively. The outcomes included MINS (primary outcome), pAKI, and BIMS (secondary outcomes). We assessed the associations between them and 30-day mortality and performed multivariable analysis to identify risk factors for these outcomes. Results: The study group comprised 553 patients. The mean age was 67.6 years, and 82.5% of patients were male. The incidence of MINS, pAKI, and BIMS was 43.8%, 17.2%, and 45.8%, respectively. The 30-day mortality rate was higher in patients who developed MINS (12.0% vs. 2.3%; P <0.001), pAKI (32.6% vs. 1.1%; P <0.001), or BIMS (12.3% vs. 1.7%; P <0.001) compared to patients who did not develop these complications. Conclusion: This study demonstrated that MINS, pAKI, and BIMS are common complications after open aortic surgeries, and they are related to a substantial increase in the 30-day mortality rate.
- Subjects
ABDOMINAL aorta surgery; TROPONIN; ABDOMINAL aortic aneurysms; MULTIVARIATE analysis; SURGICAL complications; MYOCARDIAL injury; RETROSPECTIVE studies; TREATMENT effectiveness; RISK assessment; ACUTE kidney failure; HEMORRHAGE; LONGITUDINAL method; DISEASE risk factors; DISEASE complications
- Publication
Polish Heart Journal / Kardiologia Polska, 2023, Vol 81, Issue 9, p870
- ISSN
0022-9032
- Publication type
Article
- DOI
10.33963/KP.a2023.0153