Cardiothoracic & vascular anesthesia

Associations between baseline cerebral oxygen saturation, preoperative B-type natriuretic peptide and hemoglobin levels, and mortality after cardiac surgery in non-dialysis patients

J Clin Monit ComputPublished Retrospective cohort study

Authors' conclusion

For all NIRS-derived indicators examined, baseline NIRS values before anesthesia and SmvO₂ values after induction of anesthesia were primarily correlated with BNP and hemoglobin levels. In addition, baseline NIRS values showed a significant association with postoperative in-hospital mortality

Study context

Population
Non-dialysis adults undergoing cardiac surgery; Near-infrared spectroscopy (NIRS) measured on forehead before anaesthesia, SmvO₂ after induction
Participants
510 / 468 / 510
Exposure
rSO₂ vs tissue oxygenation index (TOI) vs StO₂
  • rSO₂ (INVOS 5100C)n = 510
  • TOI (NIRO-200NX)n = 468
  • StO₂ (FORESIGHT Elite)n = 510
Outcome
Correlations of baseline NIRS values and SmvO₂ with 37 preoperative blood test variables; association of baseline NIRS values with postoperative in-hospital mortality

Main finding

As reported in the abstract

Correlation with preoperative blood tests and association with in-hospital mortality
Baseline NIRS and SmvO₂ values most significantly correlated with BNP and hemoglobin, all three devices
p < 0.00001
Baseline rSO₂ associated with postoperative mortality
p = 0.00101
Baseline TOI associated with postoperative mortality
0.00111
Baseline StO₂ associated with postoperative mortality
0.01122

Observational data: associations, not effects.

Original publication

Associations between baseline cerebral oxygen saturation, preoperative B-type natriuretic peptide and hemoglobin levels, and mortality after cardiac surgery in non-dialysis patients. J Clin Monit Comput. Published 7 October 2025. doi:10.1007/s10877-025-01352-5

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