| Item type |
文献 / Documents(1) |
| 公開日 |
2020-03-11 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
関連識別子 |
https://doi.org/10.1253/circj.CJ-19-0663 |
|
|
関連名称 |
10.1253/circj.CJ-19-0663 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Association of Echocardiography Before Major Elective Non-Cardiac Surgery With Improved Postoperative Outcomes : Possible Implications for Patient Care |
| タイトル別表記 |
|
|
その他のタイトル |
Echocardiography and Non-Cardiac Surgery |
| 著者 |
楠瀬, 賢也
トリイ, ユウタ
山田, 博胤
ニシオ, ススム
ヒラタ, ユキナ
西條, 良仁
伊勢, 孝之
山口, 浩司
福田, 大受
八木, 秀介
添木, 武
若槻, 哲三
佐田, 政隆
|
| 抄録 |
|
|
内容記述 |
Background: Whether preoperative echocardiography improves postoperative outcomes is not well established, so we examined the value of echocardiographic assessment on the onset of postoperative heart failure (HF), and determining which patients benefitted most from undergoing echocardiography prior to major elective non-cardiac surgery.
Methods and Results: We identified all patients aged 50 years and older who had major elective non-cardiac surgery, and excluded patients with previously identified severe cardiovascular disease. The primary endpoint was the onset of HF during hospitalization. A total of 806 patients were included in the analysis. During hospitalization, 49 patients (6%) reached the primary endpoint. Within the matched cohort, preoperative echocardiography was associated with a statistically significant decrease in postoperative HF (hazard ratio: 0.46, P=0.01). In subgroup analyses, age, sex, body surface area, hypertension, diabetes mellitus, prior HF, surgical type, chronic kidney disease, pulmonary disease, and malignancy influenced the association of echocardiography with postoperative HF.
Conclusions: The use of echocardiography in elderly patients with certain risk factors was associated with improved postoperative outcomes. The basis for this finding remains to be determined; particularly whether echocardiography is simply a marker of a population with better outcomes or whether it leads to better management that improves outcomes. |
| キーワード |
|
|
主題 |
Echocardiography |
| キーワード |
|
|
主題 |
Non-cardiac surgery |
| キーワード |
|
|
主題 |
Risk assessment |
| 書誌情報 |
en : Circulation Journal
巻 83,
号 12,
p. 2512-2519,
発行日 2019-11-25
|
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13469843 |
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13474820 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11591968 |
| 出版者 |
|
|
出版者 |
The Japanese Circulation Society |
| EID |
|
|
識別子 |
360390 |
| 言語 |
|
|
言語 |
eng |
circj_83_12_2512.pdf (1.02 MB)
