Risk factors for myocardial injury after non-cardiac surgery
10.3760/cma.j.issn.0254-1416.2020.02.005
- VernacularTitle:非心脏手术后心肌损伤的危险因素
- Author:
Jingfei GUO
1
;
Nan LI
;
Hong QIAO
;
Meixia SHANG
;
Shuangling LI
Author Information
1. 中国医学科学院阜外医院麻醉科，北京 100037
- From:
Chinese Journal of Anesthesiology
2020;40(2):143-145
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for myocardial injury after non-cardiac surgery.Methods:The medical records of adult patients admitted to the intensive care unit of Peking University First Hospital after non-cardiac surgery from June 2017 to June 2018 were retrospectively collected.Myocardial injury was defined as serum cardiac troponin I concentration>0.06 μg/L within 3 days after operation, and the patients were divided into myocardial injury group and non-myocardial injury group.The perioperative data of patients were obtained through searching the electronic medical record system.The variables of which P values were less than 0.05 would enter the logistic regression analysis to stratify the risk factors for myocardial injury after non-cardiac surgery. Results:A total of 752 patients were included in the study, and the incidence of myocardial injury occurred after non-cardiac surgery was 15.7%.Emergency operation and highest lactic acid concentration during operation were the independent risk factors for myocardial injury after non-cardiac surgery.Conclusion:Emergency operation and highest lactic acid concentration during operation are the independent risk factors for myocardial injury after non-cardiac surgery.
