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2016, Number 1

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Rev Cubana Cardiol Cir Cardiovasc 2016; 22 (1)

Postoperative cardiovascular complication in major surgery for cancer

Martos BFD, Gutiérrez NA

Language: Spanish
References: 33
Page: 63-69
PDF size: 509.89 Kb.


ABSTRACT

Introduction: Postoperative cardiovascular complications are disorders associated with bad outcomes.
Objectives: To identify the factors related with cardiovascular complication and its influence on clinical outcomes in patients operated for cancer.
Methods: A prospective study from 426 consecutive patients operated for cancer and admitted in Intensive Care Unit. It were assessed the possible risk factors related with cardiovascular complications; after that, was analyzed the influence of cardiovascular complication on clinical outcomes.
Results: Cardiovascular complications appeared in 35 patients (8,2%). Two factors on the Revised Cardiac Risk Index (OR 15,21 [95% CI 4,18-55,30]; p ‹ 0,0001), as well as thoracic surgery (OR 6,52 [95% CI 1,13-37,71]; p= 0,036) and gastrointestinal surgery (OR 6,54 [95% CI 1,38-31,08]; p= 0,018) were independently associated with cardiovascular complications. Development at least one cardiovascular complication (OR 13,40 [95% CI 3,58-50,25]; p ‹ 0,0001), cardiac arrest (OR 39,27 [95% CI 1,63-944,53]; p= 0,024) and acute heart failure (OR 32,79 [95% CI 2,42-444,28]; p= 0,009) were factors related with hospital mortality in multivariate logistic regression analysis.
Conclusions: The Revised Cardiac Risk Index, thoracic surgery and gastrointestinal surgery are factors linked with postoperative cardiovascular complications. This events increase hospital mortality.


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