Key result
Low- to intermediate-risk surgery was associated with a 5% relative risk reduction for myocardial infarction or acute coronary syndrome compared with no surgery in a socially matched cohort.
Why the study?
Does hospitalisation for surgery reduce intermediate-term myocardial infarction or acute coronary syndrome in patients undergoing low- to intermediate-risk non-cardiac surgery?
Population
Patients undergoing low- to intermediate-risk non-cardiac surgery
Comparison
Hospitalisation for surgery (peri-operative care) vs Patients who did not have surgery
Design
Editorial
Follow-up
intermediate to long term
Authors
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Association may support perioperative CV optimization; hypothesis-generating and requires randomized trials before practice change.
Does hospitalisation for surgery reduce intermediate-term myocardial infarction or acute coronary syndrome in patients undergoing low- to intermediate-risk non-cardiac surgery?
Effect estimate: RRR 5%
The peri-operative period for non-cardiac surgery represents a critical public health opportunity for anaesthetists and surgeons to optimize cardiovascular medical therapy and improve long-term outcomes.
Bruce Biccard (2012) conducted an editorial in non-cardiac surgery. Low- to intermediate-risk surgery vs. No surgery was evaluated on Myocardial infarction or acute coronary syndrome (RRR 5%). Low- to intermediate-risk surgery was associated with a 5% relative risk reduction for myocardial infarction or acute coronary syndrome compared with no surgery in a socially matched cohort.
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