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April 25, 2017JAMA946 citationsOpen Access

Association of Postoperative High-Sensitivity Troponin Levels With Myocardial Injury and 30-Day Mortality Among Patients Undergoing Noncardiac Surgery

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PDP.J. DevereauxBBBruce BiccardASAlben Sigamani

Key Points

  • The study aims to examine the relationship between postoperative high-sensitivity troponin levels and 30-day mortality in noncardiac surgery patients.
  • Analyzed peak postoperative high-sensitivity troponin T (hsTnT) levels within 3 days after surgery.

Structured PICO

Is peak postoperative hsTnT associated with 30-day mortality in patients undergoing noncardiac surgery?

P
Population
Patients undergoing noncardiac surgery
I
Intervention
Measurement of peak postoperative high-sensitivity troponin T (hsTnT) during the first 3 days after surgery
O
Outcome
30-day mortalityhard clinical

Postoperative hsTnT elevation is a prognostic marker for 30-day mortality in noncardiac surgery patients, regardless of ischemic features.

Abstract

Among patients undergoing noncardiac surgery, peak postoperative hsTnT during the first 3 days after surgery was significantly associated with 30-day mortality. Elevated postoperative hsTnT without an ischemic feature was also associated with 30-day mortality.

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Cite This Study

Devereaux et al. (2017) studied this question.

synapsesocial.com/papers/69df33774fb243fc8e591b89https://doi.org/10.1001/jama.2017.4360
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