Perioperative medicine & outcomes

Preoperative LDL-C and major cardiovascular and cerebrovascular events after non-cardiac surgery

J Clin AnesthPublished Retrospective cohort study

Main finding · Perioperative MACCEResult — go to the resultAdjusted odds ratio 0.783 95 % CI 0.660–0.926

Authors' conclusion

In a large cohort of patients undergoing non-cardiac surgery at a major academic health system in New York City, lower LDL-C concentrations were not associated with a lower incidence of perioperative MACCE.

Study context

Population
Non-cardiac surgeries at NYU Langone Health, January 2016–September 2020, with a complete serum lipid panel within one year before surgery
Participants
43,348 non-cardiac surgeries
Exposure
Preoperative LDL-C ≥100 vs <100 mg/dL
Outcome
Perioperative MACCE
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Adjusted odds ratio

0.783

95 % CI 0.660–0.926

≥100 mg/dL vs <100 mg/dL
aOR 0.783 (95 % CI 0.660–0.926)

Observational data: associations, not effects.

Further findings

Perioperative MACCE, overall incidence

MACCE in all patients
1093 (2.5 %)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Preoperative LDL-C and major cardiovascular and cerebrovascular events after non-cardiac surgery. J Clin Anesth. Published 16 February 2025. doi:10.1016/j.jclinane.2025.111783

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