Cardiothoracic & vascular anesthesia
Impact of intraoperative anesthesia handover on major adverse cardiovascular events after thoracic surgery: A propensity-score matched retrospective cohort study
Main findingResult — go to the resultRelative risk 1.24 95 % CI 1.03–1.50Authors' 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
%
| Outcome | Handover | Without handover | RR (95 % CI) | P value | |
|---|---|---|---|---|---|
| MI | 9.2 | 7.4 | 1.24 (1.02–1.52) | P = 0.032 | |
| 0.512Relative risk (log scale) |
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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