Why the study?
Do preoperative status and intraoperative changes in mean arterial pressure predict postoperative ischemic complications in hypertensive and diabetic patients undergoing elective noncardiac surgery?
Population
254 hypertensive and diabetic patients undergoing elective noncardiac surgery
Comparison
Preoperative status and intraoperative changes… vs Absence of previous myocardial infarction or…
Design
Cohort
Follow-up
postoperative period
Authors
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May inform preoperative risk assessment in hypertensive/diabetic patients; leaves open whether MAP optimization reduces ischemic complications.
Do preoperative status and intraoperative changes in mean arterial pressure predict postoperative ischemic complications in hypertensive and diabetic patients undergoing elective noncardiac surgery?
Previous myocardial infarction, radiographic cardiomegaly, and prolonged intraoperative MAP fluctuations of 20 mm Hg or more are significant predictors of postoperative ischemic complications in noncardiac surgery.
Charlson et al. (1989) studied this question.
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