Cardiothoracic & vascular anesthesia

Impact of intraoperative anesthesia handover on major adverse cardiovascular events after thoracic surgery: A propensity-score matched retrospective cohort study

J Clin AnesthPublished Retrospective cohort study

Main findingResult — go to the resultRelative risk 1.24 95 % CI 1.03–1.50

Authors' conclusion

For adult patients undergoing thoracic surgery, a complete handover of intraoperative anesthesia care was associated with an increased risk of MACEs after surgery.

Study context

Population
Adults undergoing elective thoracic surgery, tertiary hospital
Participants
6,962 adults · 2,165 matched pairs
Exposure
Complete intraoperative anesthesia handover vs no handover
  • Handovern = 2,165
Outcome
Composite of MACE (acute MI, new-onset congestive HF, non-fatal cardiac arrest, cardiac death)
Follow-up
Within 7 days after surgery
Methodological detailspropensity-score matched, single-centre
  • Propensity-score matched
  • Single-centre

Main finding

As reported in the abstract

Relative risk

1.24

95 % CI 1.03–1.50

P = 0.022

Events by group

Handover vs Without handover
RR 1.24 (95 % CI 1.03–1.50); P = 0.022

Observational data: associations, not effects.

Further findings

%

OutcomeHandoverWithout handoverRR (95 % CI)P value
MI9.27.41.24 (1.02–1.52)P = 0.032

Original publication

Impact of intraoperative anesthesia handover on major adverse cardiovascular events after thoracic surgery: A propensity-score matched retrospective cohort study. J Clin Anesth. Published 15 February 2025. doi:10.1016/j.jclinane.2025.111778

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