Mild perioperative hypothermia and myocardial injury: A retrospective cohort analysis
Anesthesia & Analgesia Dec 16, 2018
Schacham YN, et al. - Researchers investigated how final intraoperative esophageal temperature is associated with increased odds of a composite of in-hospital all-cause mortality and myocardial injury within 7 days after noncardiac surgery. In this work, secondary exposures comprised time-weighted average intraoperative temperature and area <37°C threshold. They defined myocardial injury by postoperative fourth-generation troponin T ≥0.03 ng/mL apparently due to cardiac ischemia. They analyzed 2210 patients, who had noncardiac surgery with general anesthesia at the Cleveland Clinic between 2012 and 2015, and had nearly all final esophageal temperatures of 36°Cā37°C. Myocardial injury was noted in 97 patients (4.4%), and death was reported for 7 (0.3%) patients. Observations revealed no association of mild perioperative hypothermia with mortality or myocardial injury in these adults.
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