Cardiothoracic & vascular anesthesia

Preoperative Glycocalyx Status and Postoperative Organ Failure After Cardiac Surgery in the GLYPOCS Observational Cohort Study

J Cardiothorac Vasc AnesthPublished Prospective cohort study

Authors' conclusion

Preoperative glycocalyx thickness, evaluated using PBR, was not associated with postoperative complications. Reduced preoperative microvascular flow was independently associated with early postoperative complications after cardiac surgery.

Study context

Population
Patients undergoing cardiac surgery, December 2020 to August 2023
Participants
119 patients
Exposure
Preoperative sublingual glycocalyx and microcirculation status vs postoperative complications
Outcome
Organ failure
Follow-up
48 hours postoperatively
Methodological detailssingle-centre, observational
  • Single-centre
  • Observational

Main finding

As reported in the abstract

Early complications (organ failure within 48 h)

Early complications occurred (AKI, KDIGO ≥ 2, most frequent)

53.8%

Preoperative microvascular flow decreased in patients with early complications, aOR per µm/s

0.9957

p = 0.01

Observational data: associations, not effects.

Secondary outcomes

Decreased microvascular flow and capillary density significantly associated with AKI and respiratory failure

Original publication

Preoperative Glycocalyx Status and Postoperative Organ Failure After Cardiac Surgery in the GLYPOCS Observational Cohort Study. J Cardiothorac Vasc Anesth. Published 21 July 2026. doi:10.1053/j.jvca.2026.07.024

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

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