The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Perioperative Major Adverse Cardiovascular and Cerebrovascular Events Associated With Noncardiac Surgery
Open accessAbstract
Importance: Major adverse cardiovascular and cerebrovascular events (MACCE) are a significant source of perioperative morbidity and mortality following noncardiac surgery. Objective: To evaluate national trends in perioperative cardiovascular outcomes and mortality after major noncardiac surgery and to identify surgical subtypes associated with cardiovascular events using a large administrative database of United States hospital admissions. Design, Setting, Participants: Patients who underwent major noncardiac surgery from January 2004 to December 2013 were identified using the National Inpatient Sample. Main Outcomes and Measures: Perioperative MACCE (primary outcome), defined as in-hospital, all-cause death, acute myocardial infarction (AMI), or acute ischemic stroke, were evaluated over time. Results: Among 10 581 621 hospitalizations (mean [SD] patient age, 65.74 [12.32] years; 5 975 798 female patients 56.60%]) for major noncardiac surgery, perioperative MACCE occurred in 317 479 hospitalizations (3.0%), corresponding to an annual incidence of approximately 150 000 events after applying sample weights. Major adverse cardiovascular and cerebrovascular events occurred most frequently in patients undergoing vascular (7.7%), thoracic (6.5%), and transplant surgery (6.3%). Between 2004 and 2013, the frequency of MACCE declined from 3.1% to 2.6% (P for trend <.001; adjusted odds ratio [aOR], 0.95; 95% CI, 0.94-0.97) driven by a decline in frequency of perioperative death (aOR, 0.79; 95% CI, 0.77-0.81) and AMI (aOR, 0.87; 95% CI, 0.84-0.89) but an increase in perioperative ischemic stroke from 0.52% in 2004 to 0.77% in 2013 (P for trend <.001; aOR 1.79; CI 1.73-1.86). Conclusions and Relevance: Perioperative MACCE occurs in 1 of every 33 hospitalizations for noncardiac surgery. Despite reductions in the rate of death and AMI among patients undergoing major noncardiac surgery in the United States, perioperative ischemic stroke increased over time. Additional efforts are necessary to improve cardiovascular care in the perioperative period of patients undergoing noncardiac surgery.
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Lee, T. H., Marcantonio, E. R., Mangione, C. M., Thomas, E. J., Polanczyk, C. A., Cook, E. F., Sugarbaker, D. J., Donaldson, M. C., Poss, R., Ho, K. K. L., et al. (1999) · Circulation · doi:10.1161/01.cir.100.10.1043 · Cited by 3,771
Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures
Goldman, L., Caldera, D. L., Nussbaum, S. R., Southwick, F. S., Krogstad, D., Murray, B., Burke, D. S., O'Malley, T. A., Goroll, A. H., Caplan, C. H., et al. (1977) · New England Journal of Medicine · doi:10.1056/nejm197710202971601 · Cited by 2,751
Third Universal Definition of Myocardial Infarction
Thygesen, K., Alpert, J. S., Jaffe, A. S., Simoons, M. L., Chaitman, B. R., White, H. D., Thygesen, K., Alpert, J. S., White, H. D., Jaffe, A. S., et al. (2012) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2012.08.001 · Cited by 2,621
Third universal definition of myocardial infarction
the Writing Group on behalf of the Joint ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction, Thygesen, K., Alpert, J. S., Jaffe, A. S., Simoons, M. L., Chaitman, B. R., & White, H. D. (2012) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2012.122 · Cited by 2,053
Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes
Weiser, T. G., Haynes, A. B., Molina, G., Lipsitz, S. R., Esquivel, M. M., Uribe-Leitz, T., Fu, R., Azad, T., Chao, T. E., Berry, W. R., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(15)60806-6 · Cited by 956
Aspirin in Patients Undergoing Noncardiac Surgery
Devereaux, P. J., Mrkobrada, M., Sessler, D. I., Leslie, K., Alonso-Coello, P., Kurz, A., Villar, J. C., Sigamani, A., Biccard, B. M., Meyhoff, C. S., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1401105 · Cited by 932
Development and Validation of a Risk Calculator for Prediction of Cardiac Risk After Surgery
Gupta, P. K., Gupta, H., Sundaram, A., Kaushik, M., Fang, X., Miller, W. J., Esterbrooks, D. J., Hunter, C. B., Pipinos, I. I., Johanning, J. M., et al. (2011) · Circulation · doi:10.1161/circulationaha.110.015701 · Cited by 757
Third universal definition of myocardial infarction
Thygesen, K., Alpert, J. S., & White, H. D. (2013) · Revista Portuguesa de Cardiologia (English Edition) · doi:10.1016/j.repce.2013.10.002 · Cited by 719
Cited by
Writing Committee for the VISION Study Investigators, Devereaux, P. J., Biccard, B. M., Sigamani, A., Xavier, D., Chan, M. T. V., Srinathan, S. K., Walsh, M., Abraham, V., Pearse, R., et al. (2017) · JAMA · doi:10.1001/jama.2017.4360 · Cited by 912
Thompson, A., Fleischmann, K. E., Smilowitz, N. R., de las Fuentes, L., Mukherjee, D., Aggarwal, N. R., Ahmad, F. S., Allen, R. B., Altin, S. E., Auerbach, A., et al. (2024) · Circulation · doi:10.1161/cir.0000000000001285 · Cited by 365
Self-citationASMBS position statement on preoperative patient optimization before metabolic and bariatric surgery
Carter, J., Chang, J., Birriel, T. J., Moustarah, F., Sogg, S., Goodpaster, K., Benson-Davies, S., Chapmon, K., & Eisenberg, D. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.08.024 · Cited by 86
Metadata
- Authors
- Smilowitz, N. R., Gupta, N., Ramakrishna, H., Guo, Y., Berger, J. S., & Bangalore, S.
- Venue
- JAMA Cardiology
- Publisher
- American Medical Association (AMA)
- Published
- 2017-02-01
- Volume
- 2
- Issue
- 2
- Pages
- 181
- ISSN
- 2380-6583 (ISSN-L)
- OpenAlex
- W2565425993
- Cited by
- 451
- References
- 23
- FWCI
- 17.68
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Smilowitz, N. R., Gupta, N., Ramakrishna, H., Guo, Y., Berger, J. S., & Bangalore, S. (2017). Perioperative Major Adverse Cardiovascular and Cerebrovascular Events Associated With Noncardiac Surgery. JAMA Cardiology. https://doi.org/10.1001/jamacardio.2016.4792
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