Preoperative electrocardiogram in prediction of 90-day
postoperative mortality: retrospective cohort study

J 2024

Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study

CAPEK, Bronislav; Jan VACLAVIK; Klára BENEŠOVÁ a Jiří JARKOVSKÝ

Základní údaje

Originální název

Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study

Autoři

CAPEK, Bronislav (203 Česká republika); Jan VACLAVIK (203 Česká republika); Klára BENEŠOVÁ (203 Česká republika, domácí) a Jiří JARKOVSKÝ (203 Česká republika, domácí)

Vydání

BMC Anesthesiology, London, BMC, 2024, 1471-2253

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30223 Anaesthesiology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.300 v roce 2023

Kód RIV

RIV/00216224:14110/24:00137414

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1186/s12871-024-02745-w

UT WoS

001325691200001

EID Scopus

2-s2.0-85205447367

Klíčová slova anglicky

Preoperative electrocardiogram; Heart rate; Atrial fibrillation; Bundle branch block; Mortality

Štítky

14119612, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 25. 10. 2024 08:59, Mgr. Tereza Miškechová

Anotace

V originále

Background There are conflicting data on the relationship between preoperative electrocardiogram and postoperative mortality. We aimed to assess the predictive value of preoperative ECG on postoperative all-cause mortality in patients undergoing non-cardiac surgery (NCS). Methods We retrospectively reviewed records of hospitalized patients who underwent an internal preoperative examination and subsequent NCS in the years 2015-2021. We recorded patient comorbidities, vital functions, results of biochemical tests, ECG. The primary end point was 90-day postoperative all-cause mortality, acquired from the hospital records and the nationwide registry run by the Institute of Health Information and Statistics of the Czech Republic. Results We enrolled a total of 2219 patients of mean age 63 years (48% women). Of these, 152 (6.8%) died during the 90-day postoperative period. There were statistically significant associations between increased 90-day postoperative all-cause mortality and abnormal ECG findings in resting heart rate (>= 80 bpm, relative risk [RR] = 1.82 and >= 100 bpm, RR = 2.57), presence of atrial fibrillation (RR = 4.51), intraventricular conduction delay (QRS > 0.12 s, RR = 2.57), ST segment changes and T wave alterations, left bundle branch hemiblock (RR = 1.64), and right (RR = 2.04) and left bundle branch block (RR = 4.13), but not abnormal PQ and QT intervals, paced rhythm, incomplete right bundle branch block, or other ECG abnormalities. A resting heart rate (>= 80 bpm, relative risk [RR] = 1.95 and >= 100 bpm, RR = 2.20), atrial fibrillation (RR = 2.10), and right bundle branch block (RR = 2.52) were significantly associated with 90-day postoperative all-cause mortality even in subgroup of patients with pre-existing cardiac comorbidities. Conclusions Patients with abnormal preoperative ECG findings face an elevated risk of all-cause mortality within 90 days after surgery. The highest mortality risk is observed in patients with atrial fibrillation and left bundle branch block. Additionally, an elevated heart rate, right bundle branch block, and atrial fibrillation further increase the risk of death in patients with pre-existing cardiac conditions.

Citovat

CAPEK, Bronislav; Jan VACLAVIK; Klára BENEŠOVÁ a Jiří JARKOVSKÝ. Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study. BMC Anesthesiology. London: BMC, 2024, roč. 24, č. 1, s. 1-8. ISSN 1471-2253. Dostupné z: https://dx.doi.org/10.1186/s12871-024-02745-w.

@article{2446187,
   author = {Capek, Bronislav and Vaclavik, Jan and Benešová, Klára and Jarkovský, Jiří},
   article_location = {London},
   article_number = {1},
   doi = {http://dx.doi.org/10.1186/s12871-024-02745-w},
   keywords = {Preoperative electrocardiogram; Heart rate; Atrial fibrillation; Bundle branch block; Mortality},
   language = {eng},
   issn = {1471-2253},
   journal = {BMC Anesthesiology},
   title = {Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study},
   url = {https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-024-02745-w},
   volume = {24},
   year = {2024}
}

TY  - JOUR
ID  - 2446187
AU  - Capek, Bronislav - Vaclavik, Jan - Benešová, Klára - Jarkovský, Jiří
PY  - 2024
TI  - Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study
JF  - BMC Anesthesiology
VL  - 24
IS  - 1
SP  - 1-8
EP  - 1-8
PB  - BMC
SN  - 14712253
KW  - Preoperative electrocardiogram
KW  - Heart rate
KW  - Atrial fibrillation
KW  - Bundle branch block
KW  - Mortality
UR  - https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-024-02745-w
N2  - Background There are conflicting data on the relationship between preoperative electrocardiogram and postoperative mortality. We aimed to assess the predictive value of preoperative ECG on postoperative all-cause mortality in patients undergoing non-cardiac surgery (NCS). Methods We retrospectively reviewed records of hospitalized patients who underwent an internal preoperative examination and subsequent NCS in the years 2015-2021. We recorded patient comorbidities, vital functions, results of biochemical tests, ECG. The primary end point was 90-day postoperative all-cause mortality, acquired from the hospital records and the nationwide registry run by the Institute of Health Information and Statistics of the Czech Republic. Results We enrolled a total of 2219 patients of mean age 63 years (48% women). Of these, 152 (6.8%) died during the 90-day postoperative period. There were statistically significant associations between increased 90-day postoperative all-cause mortality and abnormal ECG findings in resting heart rate (>= 80 bpm, relative risk [RR] = 1.82 and >= 100 bpm, RR = 2.57), presence of atrial fibrillation (RR = 4.51), intraventricular conduction delay (QRS > 0.12 s, RR = 2.57), ST segment changes and T wave alterations, left bundle branch hemiblock (RR = 1.64), and right (RR = 2.04) and left bundle branch block (RR = 4.13), but not abnormal PQ and QT intervals, paced rhythm, incomplete right bundle branch block, or other ECG abnormalities. A resting heart rate (>= 80 bpm, relative risk [RR] = 1.95 and >= 100 bpm, RR = 2.20), atrial fibrillation (RR = 2.10), and right bundle branch block (RR = 2.52) were significantly associated with 90-day postoperative all-cause mortality even in subgroup of patients with pre-existing cardiac comorbidities. Conclusions Patients with abnormal preoperative ECG findings face an elevated risk of all-cause mortality within 90 days after surgery. The highest mortality risk is observed in patients with atrial fibrillation and left bundle branch block. Additionally, an elevated heart rate, right bundle branch block, and atrial fibrillation further increase the risk of death in patients with pre-existing cardiac conditions.
ER  -

CAPEK, Bronislav; Jan VACLAVIK; Klára BENEŠOVÁ a Jiří JARKOVSKÝ. Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study. \textit{BMC Anesthesiology}. London: BMC, 2024, roč.~24, č.~1, s.~1-8. ISSN~1471-2253. Dostupné z: https://dx.doi.org/10.1186/s12871-024-02745-w.

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