Contemporary personalized β-blocker management in the perioperative setting

Oprea, Adriana D.; Wang, Xiaoxiao; Sickeler, Robert; Kertai, Miklós D.

doi:10.1007/s00540-019-02691-9

Cited by 3 publications

(1 citation statement)

References 70 publications

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“…11,39 In general, guidelines recommend continuing b-blockers for those patients already taking them and a nuanced approach to initiation in the immediate preoperative period. 6,40,41 Consensus recommendation for b-blockers: Consensus was achieved that b-blockers should be CONTINUED on the morning of surgery.…”

Section: Consensus Recommendation For Arnismentioning

confidence: 99%

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

Sahai

Balonov

Bentov

et al. 2022

Mayo Clinic Proceedings

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Section: Consensus Recommendation For Arnismentioning

confidence: 99%

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

Sahai

Balonov

Bentov

et al. 2022

Mayo Clinic Proceedings

Self Cite

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The end of a myth: proximal intramural haematoma better off with surgical repair even in Japan

Nienaber

Yuan

2022

European Journal of Cardio-Thoracic Surgery

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Comparison of Prognostic Value of 10 Biochemical Indices at Admission for Prediction Postoperative Myocardial Injury and Hospital Mortality in Patients with Osteoporotic Hip Fracture

Fisher

Srikusalanukul

Fisher

et al. 2022

JCM

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Aim: To evaluate the prognostic impact at admission of 10 biochemical indices for prediction postoperative myocardial injury (PMI) and/or hospital death in hip fracture (HF) patients. Methods: In 1273 consecutive patients with HF (mean age 82.9 ± 8.7 years, 73.5% women), clinical and laboratory parameters were collected prospectively, and outcomes were recorded. Multiple logistic regression and receiver-operating characteristic analyses (the area under the curve, AUC) were preformed, the number needed to predict (NNP) outcome was calculated. Results: Age ≥ 80 years and IHD were the most prominent clinical factors associated with both PMI (with cardiac troponin I rise) and in-hospital death. PMI occurred in 555 (43.6%) patients and contributed to 80.3% (49/61) of all deaths (mortality rate 8.8% vs.1.9% in non-PMI patients). The most accurate biochemical predictive markers were parathyroid hormone > 6.8 pmol/l, urea > 7.5 mmol/l, 25(OH)vitamin D < 25 nmol/l, albumin < 33 g/l, and ratios gamma-glutamyl transferase (GGT) to alanine aminotransferase > 2.5, urea/albumin ≥ 2.0 and GGT/albumin ≥ 7.0; the AUC for developing PMI ranged between 0.782 and 0.742 (NNP: 1.84–2.13), the AUC for fatal outcome ranged from 0.803 to 0.722, (NNP: 3.77–9.52). Conclusions: In HF patients, easily accessible biochemical indices at admission substantially improve prediction of hospital outcomes, especially in the aged > 80 years with IHD.

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Contemporary personalized β-blocker management in the perioperative setting

Cited by 3 publications

References 70 publications

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

The end of a myth: proximal intramural haematoma better off with surgical repair even in Japan

Comparison of Prognostic Value of 10 Biochemical Indices at Admission for Prediction Postoperative Myocardial Injury and Hospital Mortality in Patients with Osteoporotic Hip Fracture

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