Risk factors associated with myocardial injury after non-cardiac major surgery in ICU admitted patients
10.3760/cma.j.issn.1007-631X.2019.09.015
- VernacularTitle: 腹部手术后重症患者并发心肌损伤的高危因素分析
- Author:
Shu LI
1
;
Fengxue ZHU
1
,
2
;
Fuzheng GUO
3
;
Lilei JIANG
1
;
Haiyan XUE
1
;
Xiujuan ZHAO
1
;
Youzhong AN
1
Author Information
1. Department of Critical Care Medicine, Peking University People′s Hospital, Beijing 100044, China
2. Trauma Centre, Peking University People′s Hospital, Beijing 100044, China
3. Trauma Centre, Peking University People′s Hospital, Beijing 100044, China
- Publication Type:Journal Article
- Keywords:
Postoperative complications;
Intensive care;
Risk factors;
Myocardial injury
- From:
Chinese Journal of General Surgery
2019;34(9):798-801
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the risk factors related to the myocardial injury after non-cardiac surgery (MINS) in patients who underwent major abdominal surgery.
Methods:The clinical data of all patients admitted in the surgical ICU of Peking University People′s Hospital from Jan 2016 to Dec 2018 were analyzed. Logistic multivariate analysis was performed to analyze the association of clinical characteristics with the incidence of MINS.
Results:A total of 322 patients were included, 48.4% (156/322) were diagnosed as with MINS. 97.4% (152/156) of MINS occurred during the first 72 h of admission. Multivariate analysis showed that independent predictive factors of MINS were age >65y (OR=1.747, P=0.021), body mass index (OR=1.085, P=0.008), acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ, OR=1.066; P=0.047), hypertension (OR=1.747, P=0.027), blood lactate (OR=1.393, P=0.001) and acute kidney injury (OR=2.065, P=0.047).
Conclusions:The incidence of MINS in patients who underwent major abdominal surgery was high. Age, body mass index, APACHE Ⅱ score, hypertension, blood lactate level and acute kidney injury after surgery were independent risk factors of MINS.
