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Association Between Perioperative Adverse Cardiac Events and Mortality During One-Year Follow-Up After Noncardiac Surgery
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Oh, Ah Ran | - |
dc.contributor.author | Park, Jungchan | - |
dc.contributor.author | Lee, Jong-Hwan | - |
dc.contributor.author | Kim, Hara | - |
dc.contributor.author | Yang, Kwangmo | - |
dc.contributor.author | Choi, Jin-Ho | - |
dc.contributor.author | Ahn, Joonghyun | - |
dc.contributor.author | Sung, Ji Dong | - |
dc.contributor.author | Lee, Seung-Hwa | - |
dc.date.accessioned | 2022-06-22T11:25:15Z | - |
dc.date.available | 2022-06-22T11:25:15Z | - |
dc.date.created | 2022-05-17 | - |
dc.date.issued | 2022-04 | - |
dc.identifier.citation | Journal of the American Heart Association, Vol.11 No.8, p. e024325 | - |
dc.identifier.issn | 2047-9980 | - |
dc.identifier.uri | https://hdl.handle.net/10371/183206 | - |
dc.description.abstract | Background Cardiac complications are associated with perioperative mortality, but perioperative adverse cardiac events (PACEs) that are associated with long-term mortality have not been clearly defined. We identified PACE as a composite of myocardial infarction, coronary revascularization, congestive heart failure, arrhythmic attack, acute pulmonary embolism, cardiac arrest, or stroke during the 30-day postoperative period and we compared mortality according to PACE occurrence. Methods and Results From January 2011 to June 2019, a total of 203 787 consecutive adult patients underwent noncardiac surgery at our institution. After excluding those with 30-day mortality, mortality during a 1-year follow-up was compared. Machine learning with the extreme gradient boosting algorithm was also used to evaluate whether PACE was associated with 1-year mortality. After excluding 1203 patients with 30-day mortality, 202 584 patients were divided into 7994 (3.9%) patients with PACE and 194 590 (96.1%) without PACE. After an adjustment, the mortality was higher in the PACE group (2.1% versus 7.7%; hazard ratio [HR], 1.90; 95% CI, 1.74-2.09; P<0.001). Results were similar for 7839 pairs of propensity-score-matched patients (4.9% versus 7.9%; HR, 1.64; 95% CI, 1.44-1.87; P<0.001). PACE was significantly associated with mortality in the extreme gradient boostingmodel. Conclusions PACE as a composite outcome was associated with 1-year mortality. Further studies are needed for PACE to be accepted as an end point in clinical studies of noncardiac surgery. | - |
dc.language | 영어 | - |
dc.publisher | Wiley-Blackwell | - |
dc.title | Association Between Perioperative Adverse Cardiac Events and Mortality During One-Year Follow-Up After Noncardiac Surgery | - |
dc.type | Article | - |
dc.identifier.doi | 10.1161/JAHA.121.024325 | - |
dc.citation.journaltitle | Journal of the American Heart Association | - |
dc.identifier.wosid | 000783669800001 | - |
dc.identifier.scopusid | 2-s2.0-85128797094 | - |
dc.citation.number | 8 | - |
dc.citation.startpage | e024325 | - |
dc.citation.volume | 11 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Lee, Seung-Hwa | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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