Association of cardiac risk index with hospitalization cardiovascular outcomes among adult patients who underwent non-cardiac surgeries in the De La Salle University Medical Center service department from OCtober 2016 to December 2018

Publication Date

2019

Document Type

Research

Abstract

This was a retrospective cohort study involving adult patients who underwent non-cardiac surgeries in the DLSUMC service department from October 2016 to December 2018 and their hospitalization outcomes. They were referred preoperatively for risk stratification and based on the presence of risk predictors of the Revised Cardiac Risk Index (RCRI) tool categorized as having low risk or elevated risk indices. The association between the low and elevated risk group and their hospitalization cardiovascular outcomes in terms of major adverse cardiac events (MACE) were then analyzed. There were 176 adult surgical patients included in this study. Three subjects expired (1.7%), all of them belonging in the elevated risk group. Eight (4.5%) developed myocardial infraction within hospitalization, with four each in the low and elevated risk groups. Other major adverse cardiac events reported were: 3 had post-operative pulmonary edema (1.7%), 1 had stroke (0.6%), 1 had non-fatal cardiac arrest (0.6%). Comparing the risk indices against hospitalization cardiovascular outcome, there was no significant difference between low and elevated risk index in terms of major adverse cardiac events (p value= 0.4325).

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