Cardiothoracic & vascular anesthesia

Perioperative Inflammatory Biomarkers and Early Postoperative Prognosis in Elderly Patients Undergoing Cardiac Surgery

J Cardiothorac Vasc AnesthPublished Retrospective observational cohort study

Authors' conclusion

Preoperative PLR and NLR are simple and accessible biomarkers associated with poor early postoperative prognosis in elderly cardiac surgery patients, although their predictive performance is moderate.

Study context

Population
Patients aged ≥65 years undergoing elective open cardiac surgery, August 2018 to October 2023; prior thoracic surgery, advanced renal disease or incomplete preoperative data excludedanalysed
Participants
432 patients
Exposure
Poor vs good early postoperative prognosis
  • Poor postoperative prognosisn = 98
Outcome
Poor early postoperative prognosis (major early postoperative cardiac complications)
Methodological detailssingle tertiary university hospital
  • Single tertiary university hospital

Main finding

As reported in the abstract

Poor postoperative prognosis and its predictors

Poor postoperative prognosis

22.7%

98

Higher preoperative neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in poor prognosis
all p < 0.05

Observational data: associations, not effects.

Further findings

EuroSCORE, ICU and hospital LOS, short-term mortality

Higher EuroSCOREs, longer ICU and hospital stays, increased short-term mortality in poor prognosis
all p < 0.05

Original publication

Perioperative Inflammatory Biomarkers and Early Postoperative Prognosis in Elderly Patients Undergoing Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 25 May 2026. doi:10.1053/j.jvca.2026.05.043

Composed by AI from the published abstract and checked against it. How Briefs are made →

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