May 13, 2011Anaesthesia

Outcomes in vascular surgical patients with isolated postoperative troponin leak: a meta‐analysis

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Why the study?

Does an isolated postoperative troponin leak predict 30-day mortality in vascular surgical patients?

Structured PICO

Does an isolated postoperative troponin leak predict 30-day mortality in vascular surgical patients?

Population

Vascular surgical patients from 9 studies (8 distinct cohorts)

Intervention

Isolated postoperative troponin leak (elevation below diagnostic threshold for peri-operative myocardial infarction, without symptoms or ischaemic electrocardiography changes or echocardiography signs)

Comparator

No troponin elevation

Outcome

All-cause mortality at 30 dayshard clinical

An isolated postoperative troponin leak in vascular surgical patients is strongly associated with increased 30-day mortality compared to no troponin elevation.

Limitations

Insufficient data were available to analyse intermediate-term outcomes.

Discussion

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Implication

Warrants closer monitoring and risk stratification for vascular surgery patients with isolated troponin leaks; confirms strong prognostic association with 30-day mortality.

Cite This Study

Redfern et al. (2011) studied this question.

synapsesocial.com/papers/6a7fa2b7812a481b9a5f2584 https://doi.org/10.1111/j.1365-2044.2011.06763.x

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Implication

Warrants closer monitoring and risk stratification for vascular surgery patients with isolated troponin leaks; confirms strong prognostic association with 30-day mortality.