Very Low Risk for In-hospital Adverse Outcome Such as ST-elevation or Non-ST-elevation Myocardial Infarction in Patients Undergoing Knee Surgery.

Q3 Medicine

Critical Pathways in Cardiology Pub Date : 2022-06-01 DOI:10.1097/HPC.0000000000000282

Armin Talle, Mehrtash Hashemzadeh, Mohammad Reza Movahed

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引用次数: 0

Abstract

Background: Knee surgery is a very common surgery. The risk of cardiac events is thought to be low. The goal of this study was to evaluate inpatients adverse outcomes such as ST-elevation myocardial infarction (STEMI) or Non-ST-elevation myocardial infarction in patients undergoing knee surgery.

Method: Using the nation inpatient sample database, we evaluated the occurrence of STEMI and Non-STEMI in a very large population.

Results: Using 2 random samples from 2005 to 2014, 10 years apart involving 7444 knee surgeries, the occurrence of STEMI and Non-STEMI were very low. In 2005, only 1 STEMI (0.0%) and 4 non-STEMI (0.1%) events occurred in inpatient knee-surgery patients. In the 2014 group, 0 STEMI (0.0%) and 5 non-STEMI (0.16%) events occurred in inpatient knee-surgery patients. Overall, STEMI or non-STEMI events occurred in 0.13% of inpatient knee-surgery procedures.

Conclusions: Inpatients' adverse outcome of patients undergoing knee surgery is very low suggesting that extensive cardiac workup for knee surgery may not be warranted.

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膝关节手术患者发生st段抬高或非st段抬高心肌梗死等院内不良结局的风险极低。

背景:膝关节手术是一种非常常见的手术。心脏疾病的风险被认为很低。本研究的目的是评估住院患者的不良结局，如st段抬高型心肌梗死(STEMI)或非st段抬高型心肌梗死接受膝关节手术的患者。方法:使用国家住院患者样本数据库，我们评估STEMI和非STEMI在一个非常大的人群中的发生情况。结果:2005 - 2014年随机抽取2例，间隔10年共7444例膝关节手术，STEMI和Non-STEMI发生率均很低。2005年，住院膝关节手术患者中只有1例STEMI(0.0%)和4例非STEMI(0.1%)事件发生。在2014年组中，住院膝关节手术患者发生了0例STEMI(0.0%)和5例非STEMI(0.16%)事件。总体而言，住院患者膝关节手术发生STEMI或非STEMI事件的比例为0.13%。结论:住院患者接受膝关节手术的不良后果非常低，提示膝关节手术前广泛的心脏检查可能不值得。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Critical Pathways in Cardiology Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Critical Pathways in Cardiology provides a single source for the diagnostic and therapeutic protocols in use at hospitals worldwide for patients with cardiac disorders. The Journal presents critical pathways for specific diagnoses—complete with evidence-based rationales—and also publishes studies of these protocols" effectiveness.