Key result
Peak troponin T levels of 0.30 µg/l or higher during the first 3 days after noncardiac surgery were associated with a significantly increased risk of 30-day mortality compared to levels of 0.01 µg/l or less (HR 10.48).
Why the study?
Does postoperative troponin T measurement predict 30-day mortality in noncardiac surgery patients?
Does postoperative troponin T measurement predict 30-day mortality in noncardiac surgery patients?
Hazard Ratio: 10.48 (95% CI 6.25–16.62)
Absolute Event Rate: 16.9% vs 1%
Postoperative monitoring of troponin T substantially improves risk stratification after noncardiac surgery and identifies patients at high risk of 30-day mortality.
No takes yet. Share an insight, caveat, or question.
May enhance postoperative risk stratification after noncardiac surgery; leaves open whether routine monitoring improves outcomes.
Szczeklik et al. (2012) conducted a review in Noncardiac surgery (n=15,133). Peak troponin T ≥0.30 µg/l vs. Peak troponin T ≤0.01 µg/l was evaluated on 30-day mortality (HR 10.48, 95% CI 6.25-16.62). Peak troponin T levels of 0.30 µg/l or higher during the first 3 days after noncardiac surgery were associated with a significantly increased risk of 30-day mortality compared to levels of 0.01 µg/l or less (HR 10.48).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: