Scopus
YÖKSİS Eşleşti
Outcomes in patients with chronic heart failure undergoing non-cardiac surgery: a secondary analysis of the METREPAIR international cohort study*
Anaesthesia · Ocak 2025
YÖKSİS Kayıtları
Outcomes in patients with chronic heart failure undergoing non‐cardiac surgery: a secondary analysis of the
METREPAIR
international cohort study*
Anaesthesia · 2025 SCI-Expanded
PROFESÖR OĞUZHAN ARUN →
Makale Bilgileri
DergiAnaesthesia
Yayın TarihiOcak 2025
Scopus ID2-s2.0-105002708461
Özet
Introduction: Heart failure is a frequent comorbidity in patients undergoing non-cardiac surgery and an acknowledged risk factor for postoperative mortality. The associations between stable chronic heart failure and postoperative outcomes have not been explored extensively. The aim of this study was to determine associations between stable chronic heart failure and its peri-operative management and postoperative outcomes after major non-cardiac surgery. Methods: This is a secondary analysis of MET-REPAIR, an international prospective cohort study including patients undergoing non-cardiac surgery aged ≥ 45 y with increased cardiovascular risk. Main exposures were stable chronic heart failure and availability of a pre-operative transthoracic echocardiogram. The primary endpoint was the incidence of postoperative major adverse cardiovascular events at 30 days. Secondary endpoints included 30-day mortality and severe in-hospital complications. Multivariable logistic regression models were calculated. Results: Of 15,158 included patients, 3880 (25.6%) fulfilled the diagnostic criteria for stable chronic heart failure, of whom 1397 (36%) were female. Chronic heart failure was associated with increased risk of postoperative 30-day major adverse cardiovascular events (OR 2.04, 95%CI 1.59–2.60), 30-day mortality (OR 1.50, 95%CI 1.17–1.92) and in-hospital complications (OR 1.47, 95%CI 1.30–1.66). Transthoracic echocardiography was performed in 1267 (32.7%) patients with heart failure; 146 (11.5%) patients with heart failure presented with a left ventricular ejection fraction < 40%. Reduced ejection fraction was associated with major adverse cardiovascular events (OR 2.0, 95%CI 1.01–3.81). Discussion: Stable chronic heart failure is independently associated with major adverse cardiovascular events, mortality and severe postoperative complications when measured 30 days after non-cardiac surgery.
Yazarlar (94)
1
Anna Kirkopoulos
2
René M'Pembele
ORCID: 0009-0007-7499-3331
3
Sebastian Roth
4
Alexandra Stroda
5
Jan Larmann
ORCID: 0000-0003-3365-4572
6
Hans Jörg Gillmann
ORCID: 0000-0003-1178-3701
7
Katarzyna Kotfis
8
Michael T. Ganter
ORCID: 0000-0003-1234-1833
9
Daniel Bolliger
ORCID: 0000-0003-4094-448X
10
Miodrag Filipovic
ORCID: 0000-0003-1764-7145
11
Luca Guzzetti
12
Eckhard Mauermann
ORCID: 0000-0001-5592-0822
13
Daniela Ionescu
14
Savino Spadaro
15
Wojciech Szczeklik
16
Stefan De Hert
17
Beatrice Beck-Schimmer
ORCID: 0000-0002-0648-6115
18
Simon J. Howell
19
Giovanna Lurati Buse
ORCID: 0000-0002-8076-5737
20
Purificación Matute
21
Sanem C. Turhan
22
Judith van Waes
23
Filipa Lagarto
24
Kassiani Theodoraki
ORCID: 0000-0003-4890-4642
25
Anil Gupta
ORCID: 0000-0003-1606-6082
26
Alexey Ovezov
27
Biljana Kuzmanovska
28
Stjepan Barisin
29
Peter Poredos
30
Daniela Arabadzhieva
31
Dragana Unic-Stojanovic
32
Edith Fleischmann
33
Claude Meistelman
34
Donal J. Buggy
ORCID: 0000-0003-3922-4397
35
Paul Calleja
36
Antigona Hasani Sebastian Roth
37
Johannes Nienhaus
38
Theresa Tenge
39
Ragnar Huhn
40
Detlef Kindgen-Milles
41
Cornelia Schultze
42
Nele Verbarg
43
Christian Gehrke
44
Anna Katharina Klemann
45
Friederike Hagebölling
46
Svenja Albrecht
47
Jakob Stroeder
48
Ann Kristin Schubert
49
Hinnerk Wulf
50
Florian Espeter
51
Benedikt Russe
52
Markus A. Weigand
53
Lars Bergmann
54
Matthias Unterberg
55
Petra Bischoff
56
Raphael Pirzer
57
Patric Rene Rach
58
Klaus Ott
59
Alexander Zarbock
60
Ana Kowark
61
Claudia Neumann
62
Bahareh Marchand
63
Christoph Sponholz
64
Henrik Rueffert
65
Mira Kramer
66
Simone Lindau
67
Patrick Meybohm
68
Kai Zacharowski
69
Götz Schmidt
70
Christian Koch
71
Melissa Carollo
72
Cecilia Novazzi
73
Fiorenza Toso
74
Alessandro Bacuzzi
75
Riccardo Ragazzi
76
Carlo Alberto Volta
77
Francesco De Giorgi
78
Barbara Bacer
79
Antonio Federico
80
Davide Chiumello
81
Luigi Vetrugno
82
Alberto Castella
83
Simonetta Tesoro
84
Antonella Cotoia
85
Elena Bignami
86
Agrippino Bellissima
87
Andrea Cortegiani
88
Marco Crisman
89
Arturo Toninelli
90
Ornella Piazza
91
Lucia Mirabella
92
Matteo Bossolasco
93
Francesco Bona
94
Juan Manuel Perdomo
Anahtar Kelimeler
cardiovascular risk
guideline adherence
mortality
postoperative complications
Kurumlar
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi di Varese
Varese Italy
City Hospital Zurich
Zurich Switzerland
Hannover Medical School
Hannover Germany
Jagiellonian University Medical College
Krakow Poland
Kantonsspital St.Gallen
St Gallen Switzerland
Kantonsspital Winterthur
Winterthur Switzerland
Pomeranian Medical University in Szczecin
Szczecin Poland
Universitair Ziekenhuis Gent
Ghent Belgium
Universitatea de Medicina si Farmacie Iuliu Hatieganu din Cluj-Napoca
Cluj Napoca Romania
Universitätsklinikum Düsseldorf
Dusseldorf Germany
Universitätsklinikum Heidelberg
Heidelberg Germany
Universitätsspital Basel
Basel Switzerland
UniversitatsSpital Zurich
Zurich Switzerland
University of Ferrara
Ferrara Italy
University of Leeds, School of Medicine
Leeds United Kingdom