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Sunday, June 24, 2012

Association Between Postoperative Troponin Levels and 30-Day Mortality Among Patients Undergoing Noncardiac Surgery


THE VISION STUDY (Please click on this link)
Objective To determine the relationship between the peak fourth-generation troponin T (TnT) measurement in the first 3 days after noncardiac surgery and 30-day mortality.

Design, Setting, and Participants A prospective, international cohort study that enrolled patients from August 6, 2007, to January 11, 2011. Eligible patients were aged 45 years and older and required at least an overnight hospital admission after having noncardiac surgery.

 Results The data suggest that 1 in 25 patients with a peak TnT measurement of 0.02 ng/mL, 1 in 11 patients with a peak TnT measurement of 0.03 to 0.29 ng/mL, and 1 in 6 patients with a peak TnT measurement of at least 0.30 ng/mL will die within 30 days of surgery. Monitoring postoperative TnT measurements can enhance risk stratification after noncardiac surgery. 

 It would be interesting to see, How to prevent this?http://jama.jamanetwork.com/article.aspx?articleid=1172044