Why the study?
Is myocardial injury after noncardiac surgery (MINS) associated with increased 30-day mortality in major general surgical patients?
Is myocardial injury after noncardiac surgery (MINS) associated with increased 30-day mortality in major general surgical patients?
MINS is common and largely asymptomatic after major general surgery, but is associated with a 5-fold increase in 30-day mortality, highlighting the potential value of routine postoperative troponin screening.
May support postoperative troponin monitoring in major surgery; leaves open whether detection improves survival.
Approximately 1 in 6 patients experienced MINS after major general surgery. MINS was independently associated with a nearly 5-fold increase in 30-day mortality. The vast majority of patients with MINS were asymptomatic and would have gone undetected without routine postoperative troponin measurement.
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Jacka et al. (2023) studied this question.
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