Perioperative medicine & outcomes

Association of preoperative beta-blocker interruption on postoperative morbidity and mortality: a historical cohort study

Can J AnaesthPublished Historical cohort study

Authors' conclusion

Results from this study suggest that preoperative acute beta-blocker interruption is significantly associated with decreased 30-day and 90-day postoperative all-cause mortality.

Study context

Population
Consecutive patients on beta-blockers undergoing elective surgery at two hospitals in Ontario, Canada, 2014–201822.2% with interruption
Participants
4,971 patients
Exposure
Beta-blocker interruption vs Continued
Outcome
30-day and 90-day mortality
Follow-up
30 and 90 days
Methodological detailstwo hospitals, single academic institution, consecutive patients, propensity covariate-adjusted logistic regression
  • Two hospitals, single academic institution
  • Consecutive patients
  • Propensity covariate-adjusted logistic regression

Main finding

As reported in the abstract

Beta-blocker interruption vs ContinuedOdds ratio (95% CI)P value
30-day mortality, adjusted
0.42(0.18–1.00)
P = 0.049
90-day mortality, adjusted
0.51(0.28–0.90)
P = 0.02

Observational data: associations, not effects.

Secondary outcomes

Secondary outcomes (composite of adverse events)

After adjustment, beta-blocker interruption not significantly associated with any secondary outcome

Original publication

Association of preoperative beta-blocker interruption on postoperative morbidity and mortality: a historical cohort study. Can J Anaesth. Published 24 September 2025. doi:10.1007/s12630-025-03027-w

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