Risk factors for cardiovascular death after elective surgery under general anaesthesia

被引：73

作者：

Howell, SJ ^{[1
]}

Sear, YM

Yeates, D

Goldacre, M

Sear, JW

Foëx, P

机构：

[1] John Radcliffe Hosp, Nuffield Dept Anaesthet, Oxford OX3 9DU, England

[2] Inst Hlth Sci, Unit Hlth Care Epidemiol, Oxford OX3 7LF, England

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1998年 / 80卷 / 01期

关键词：

anaesthesia; general; complications; death; cardiovascular disease; audit; records;

D O I：

10.1093/bja/80.1.14

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A large epidemiological data set was used to identify 115 patients who died from a cardiovascular cause within 30 days of elective surgery under general anaesthesia. For each patient, a control was identified, matched for age (within 5 yr of the patient), sex, operation and consultant. Patients and controls were compared for cardiovascular risk factors in a matched analysis using conditional logistic regression, and a prognostic model was generated. Three risk factors were included in the final model: previous myocardial infarction (odds ratio 3.18 (95% confidence intervals (CI) 1.22-8.28), P = 0.018), history of hypertension (odds ratio 1.90 (0.99-3.62), P = 0.047) and renal failure (odds ratio 3.56 (1.04-12.10), P = 0.043).

引用

页码：14 / 19

页数：6

共 18 条

[1] IN-HOSPITAL AND LONG-TERM MORTALITY IN MALE VETERANS FOLLOWING NONCARDIAC SURGERY [J].

BROWNER, WS ;

LI, J ;

MANGANO, DT .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (02) :228-232

[2]

Clayton D., 1993, Statistical Models in Epidemiology, P271

[3] MULTICENTER STUDY OF GENERAL-ANESTHESIA .1. DESIGN AND PATIENT DEMOGRAPHY [J].

FORREST, JB ;

REHDER, K ;

GOLDSMITH, CH ;

CAHALAN, MK ;

LEVY, WJ ;

STRUNIN, L ;

BOTA, W ;

BOUCEK, CD ;

CUCCHIARA, RF ;

DHAMEE, S ;

DOMINO, KB ;

DUDMAN, AJ ;

HAMILTON, WK ;

KAMPINE, J ;

KOTRLY, KJ ;

MALTBY, JR ;

MAZLOOMDOOST, M ;

MACKENZIE, RA ;

MELNICK, BM ;

MOTOYAMA, E ;

MUIR, JJ ;

MUNSHI, C .

ANESTHESIOLOGY, 1990, 72 (02) :252-261

[4] MULTICENTER STUDY OF GENERAL-ANESTHESIA .3. PREDICTORS OF SEVERE PERIOPERATIVE ADVERSE OUTCOMES [J].

FORREST, JB ;

REHDER, K ;

CAHALAN, MK ;

GOLDSMITH, CH .

ANESTHESIOLOGY, 1992, 76 (01) :3-15

[5] RISK OF NONCARDIAC OPERATION IN PATIENTS WITH DEFINED CORONARY-DISEASE - THE CORONARY-ARTERY SURGERY STUDY (CASS) REGISTRY EXPERIENCE [J].

FOSTER, ED ;

DAVIS, KB ;

CARPENTER, JA ;

ABELE, S ;

FRAY, D .

ANNALS OF THORACIC SURGERY, 1986, 41 (01) :42-50

[6] EPIDEMIOLOGY IN ANESTHESIA .3. MORTALITY RISK IN PATIENTS WITH COEXISTING PHYSICAL DISEASE [J].

FOWKES, FGR ;

LUNN, JN ;

FARROW, SC ;

ROBERTSON, IB ;

SAMUEL, P .

BRITISH JOURNAL OF ANAESTHESIA, 1982, 54 (08) :819-825

[7] CAUSE-SPECIFIC MORTALITY - UNDERSTANDING UNCERTAIN TIPS OF THE DISEASE ICEBERG [J].

GOLDACRE, MJ .

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1993, 47 (06) :491-496

[8] RISKS OF GENERAL-ANESTHESIA AND ELECTIVE OPERATION IN THE HYPERTENSIVE PATIENT [J].

GOLDMAN, L ;

CALDERA, DL .

ANESTHESIOLOGY, 1979, 50 (04) :285-292

[9] MULTIFACTORIAL INDEX OF CARDIAC RISK IN NON-CARDIAC SURGICAL PROCEDURES [J].

GOLDMAN, L ;

CALDERA, DL ;

NUSSBAUM, SR ;

SOUTHWICK, FS ;

KROGSTAD, D ;

MURRAY, B ;

BURKE, DS ;

OMALLEY, TA ;

GOROLL, AH ;

CAPLAN, CH ;

NOLAN, J ;

CARABELLO, B ;

SLATER, EE .

NEW ENGLAND JOURNAL OF MEDICINE, 1977, 297 (16) :845-850

[10]

HEASMAN S, 1966, STUDIES POPULATION M, V20

← 1 2 →