Perioperative medicine & outcomes

Association between pre‐operative prolonged corrected QT interval and all‐cause mortality after non‐cardiac surgery

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

Pre-operative QTc between 480 and 519 ms is associated with both higher long-term and 30-day mortality after non-cardiac surgery.

Study context

Population
Adults over 18 years undergoing non-cardiac surgery at Landspitali-the National University Hospital, Iceland, 2005–2015
Participants
10,209 surgeries
Exposure
Pre-operative QTc categories vs reference QTc 380-439 ms
Outcome
Long-term mortality
Follow-up
Median 2691 days (IQR 1620-3705 days)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Each group vs 380-439Hazard ratio (CI)
≤379
0.85(0.66–1.09)
440-479
1.08(0.99–1.17)
480-519
1.26(1.10–1.43)
≥520
0.97(0.78–1.21)

Observational data: associations, not effects.

Secondary outcomes

OutcomeOR (CI)
30-day mortality · 30 days≤379 vs 380-4391.12 (0.18–3.8)
30-day mortality · 30 days440-479 vs 380-4391.03 (0.70–1.51)
30-day mortality · 30 days480-519 vs 380-4391.64 (1.02–2.60)
30-day mortality · 30 days≥520 vs 380-4390.98 (0.44–2.06)

Original publication

Association between pre‐operative prolonged corrected QT interval and all‐cause mortality after non‐cardiac surgery. Acta Anaesthesiol Scand. Published 21 December 2022. doi:10.1111/aas.14178

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