دورية أكاديمية

Prevalence and trends of perioperative major adverse cardiovascular and cerebrovascular events during cancer surgeries

التفاصيل البيبلوغرافية
العنوان: Prevalence and trends of perioperative major adverse cardiovascular and cerebrovascular events during cancer surgeries
المؤلفون: Venkataraghavan Ramamoorthy, Kelvin Chan, Sandeep Appunni, Zhenwei Zhang, Md Ashfaq Ahmed, Peter McGranaghan, Anshul Saxena, Muni Rubens
المصدر: Scientific Reports, Vol 13, Iss 1, Pp 1-7 (2023)
بيانات النشر: Nature Portfolio, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
LCC:Science
مصطلحات موضوعية: Medicine, Science
الوصف: Abstract Major adverse cardiovascular and cerebrovascular events (MACCE) is an important cause of morbidity and mortality during perioperative period. In this study, we looked for national trends in perioperative MACCE and its components as well as cancer types associated with high rates of perioperative MACCE during major cancer surgeries. This study was a retrospective analysis of the National Inpatient Sample, 2005–2014. Hospitalizations for surgeries of prostate, bladder, esophagus, pancreas, lung, liver, colorectal, and breast among patients 40 years and greater were included in the analysis. MACCE was defined as a composite measure that included in-hospital all-cause mortality, acute myocardial infarction (AMI), and ischemic stroke. A total of 2,854,810 hospitalizations for major surgeries were included in this study. Of these, 67,316 (2.4%) had perioperative MACCE. Trends of perioperative MACCE showed that it decreased significantly for AMI, death and any MACCE, while stroke did not significantly change during the study period. Logistic regression analysis for perioperative MACCE by cancer types showed that surgeries for esophagus, pancreas, lung, liver, and colorectal cancers had significantly greater odds for perioperative MACCE. The surgeries identified to have greater risks for MACCE in this study could be risk stratified for better informed decision-making and management.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2045-2322
Relation: https://doaj.org/toc/2045-2322
DOI: 10.1038/s41598-023-29632-7
URL الوصول: https://doaj.org/article/7e5a33e0b9f54c9091b9f7089744e9ab
رقم الأكسشن: edsdoj.7e5a33e0b9f54c9091b9f7089744e9ab
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20452322
DOI:10.1038/s41598-023-29632-7