Cardiothoracic & vascular anesthesia

Utility of High-Sensitivity Cardiac Troponin Monitoring in Thoracic Surgery for Predicting Severe Postoperative Complications

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

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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