Cardiothoracic & vascular anesthesia
Utility of High-Sensitivity Cardiac Troponin Monitoring in Thoracic Surgery for Predicting Severe Postoperative Complications
Authors' conclusion
Perioperative troponin elevation is associated with worse short-term postoperative outcomes, including a higher incidence of sPOCs and prolonged hospital stays. Preoperative hs-cTnI levels correlate with preoperative morbidity (frailty) in patients.
Study context
- Population
- Patients undergoing lung resection surgery with pre- and postoperative troponin measurements, November 2018–October 2021
- Participants
- 220 patients
- Exposure
- Patients with vs without postoperative myocardial injury
- Outcome
- Severe postoperative complications (sPOCs) per Clavien-Dindo classification
- Follow-up
- First 30 days
Methodological detailsobservational, tertiary-level hospital
- Observational
- Tertiary-level hospital
Main finding
As reported in the abstract
Severe postoperative complications
- Higher pre- and postoperative hs-cTnI levels in patients with severe postoperative complications (sPOCs) vs those without complications
- Higher incidence of POCs in patients with myocardial injury (MI) vs without MI
Observational data: associations, not effects.
Further findings
- Undetectable preoperative hs-cTnI levels associated with better survival
Original publication
Utility of High-Sensitivity Cardiac Troponin Monitoring in Thoracic Surgery for Predicting Severe Postoperative Complications. J Cardiothorac Vasc Anesth. Published 15 March 2025. doi:10. 1053/ j. jvca. 2025. 03. 023
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